Provider Demographics
NPI:1811532096
Name:EMDR SOLUTIONS INC
Entity type:Organization
Organization Name:EMDR SOLUTIONS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:E
Authorized Official - Last Name:FASS
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:385-393-4804
Mailing Address - Street 1:920 HERITAGE PARK BLVD STE 200H
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5645
Mailing Address - Country:US
Mailing Address - Phone:385-393-4804
Mailing Address - Fax:801-217-8162
Practice Address - Street 1:920 HERITAGE PARK BLVD STE 200H
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5645
Practice Address - Country:US
Practice Address - Phone:385-393-4804
Practice Address - Fax:801-217-8162
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMDR SOLUTIONS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-12
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty