# KAIZEN CENTER FOR MENTAL HEALTH PLLC

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

## Provider details

- **NPI number:** 1134616899
- **Authorized official:** MICHAEL WICKERSHAM (PROVIDER/OWNER)
- **Authorized official phone:** (801) 712-1790

## Contact information

- **Practice address:** 4055 S 700 E STE 103, MURRAY, UT 84107-2508
- **Practice address phone:** (801) 712-1790
- **Mailing address:** 4055 S 700 E STE 103, MURRAY, UT 84107-2508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 94280933501 | UT | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 04/18/2018