# ELEMENTAL HEALING THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elemental Healing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083432983
- **Authorized official:** LORI LUND LMFT (OWNER)
- **Authorized official phone:** (970) 556-3798

## Contact information

- **Practice address:** 11075 S STATE ST STE 2, SANDY, UT 84070-5151
- **Practice address phone:** (970) 556-3798
- **Mailing address:** 11075 S STATE ST STE 2, SANDY, UT 84070-5151
- **Mailing address phone:** (970) 556-3798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/30/2024
- **Last updated:** 09/30/2024