# SANCTUARY FOR HEALING & INTEGRATION PLLC

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

## Provider details

- **NPI number:** 1417218371
- **Authorized official:** DR. CARMELA J JAVELLANA M.D. (OWNER)
- **Authorized official phone:** (801) 268-0333

## Contact information

- **Practice address:** 860 E 4500 S STE 302, SALT LAKE CITY, UT 84107-3018
- **Practice address phone:** (801) 268-0333
- **Practice address fax:** (801) 268-3777
- **Mailing address:** 860 E 4500 S STE 302, SALT LAKE CITY, UT 84107-3018
- **Mailing address phone:** (801) 268-0333
- **Mailing address fax:** (801) 268-3777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 280094-1205 | UT | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/06/2012