# MOUNTAINSIDE COUNSELING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Peak Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497529630
- **Authorized official:** MRS. MCKENZIE MARIA ANDERSON LCSW (SOLE MEMBER)
- **Authorized official phone:** (385) 390-3579

## Contact information

- **Practice address:** 240 N EAST PROMONTORY STE 200, FARMINGTON, UT 84025-2950
- **Practice address phone:** (385) 390-3579
- **Mailing address:** 240 N EAST PROMONTORY STE 200, FARMINGTON, UT 84025-2950
- **Mailing address phone:** (385) 390-3579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/08/2023