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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILLUMINATE AND EVOLVE THERAPY

Active Organization

ILLUMINATE AND EVOLVE THERAPY is a Clinical Social Worker organization located in SALT LAKE CITY, Utah. NPI 1932868528 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SALT LAKE CITY, UT

Registration Details

NPI Number
1932868528
Provider Type
Organization
NPI Issued
Dec 11, 2021 (4.6939534958826 yrs)
Last Updated
Dec 11, 2021

Practice Information

Address
3435 S BROOK VIEW LN
SALT LAKE CITY, UT, 841061593
Browse UT providers · Browse ZIP 84106
Phone
8016336579
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.