# MIRA COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063285070
- **Authorized official:** HILARY SIKOCHI LCSW (OWNER)
- **Authorized official phone:** (801) 448-6523

## Contact information

- **Practice address:** 1244 N MAIN ST, TOOELE, UT 84074-9838
- **Practice address phone:** (801) 448-6523
- **Mailing address:** 884 W SAGEWOOD DR, STANSBURY PARK, UT 84074-4921
- **Mailing address phone:** (801) 448-6523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 11/01/2023
- **Last updated:** 11/01/2023