# LAKESIDE COUNSELING

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

## Provider details

- **NPI number:** 1245636430
- **Authorized official:** CAROL ELAINE BUFFI LCSW (OWNER)
- **Authorized official phone:** (801) 703-7911

## Contact information

- **Practice address:** 2860 W 4700 S \# G2, TAYLORSVILLE, UT 84129-2157
- **Practice address phone:** (801) 703-7911
- **Mailing address:** 3311 S 4985 W, WEST VALLEY CITY, UT 84120-1700
- **Mailing address phone:** (801) 703-7911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 351724-3501 | UT | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 08/26/2025