Provider Demographics
NPI:1831994771
Name:FARM GATE GROWTH AND LEARNING PLLC
Entity type:Organization
Organization Name:FARM GATE GROWTH AND LEARNING PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:CECCHERINI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-979-2668
Mailing Address - Street 1:532 E 800 N BLDG 2
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4146
Mailing Address - Country:US
Mailing Address - Phone:801-979-2668
Mailing Address - Fax:
Practice Address - Street 1:532 E 800 N BLDG 2
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4146
Practice Address - Country:US
Practice Address - Phone:801-979-2668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty