# AXIS-ONE INC

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

## Provider details

- **NPI number:** 1154300234
- **Authorized official:** MR. EMORY SINGLETARY (EXECUTIVE ADMINISTRATOR)
- **Authorized official phone:** (801) 475-0402

## Contact information

- **Practice address:** 5149 SOUTH 1500 WEST, RIVERDALE, UT 84405
- **Practice address phone:** (801) 475-0402
- **Practice address fax:** (801) 475-7464
- **Mailing address:** 5149 SOUTH 1500 WEST, RIVERDALE, UT 84405
- **Mailing address phone:** (801) 475-0402
- **Mailing address fax:** (801) 475-7464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 47306713501 | UT | — |
| 101YM0800X | Mental Health Counselor | 1418053501 | UT | — |
| 101YM0800X | Mental Health Counselor | 3231733501 | UT | Yes |
| 101YM0800X | Mental Health Counselor | 50176303501 | UT | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103T00000X | Psychologist | 49189582601 | UT | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 2083338900 | UT | — |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 05/22/2008