# RIDGEDALE COUNSELING INC.

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

## Provider details

- **NPI number:** 1568259372
- **Authorized official:** ROBERT ERIC URQUIDI CMHC (PRESIDENT)
- **Authorized official phone:** (801) 793-7849

## Contact information

- **Practice address:** 4190 S HIGHLAND DR STE 108, SALT LAKE CITY, UT 84124-2661
- **Practice address phone:** (801) 793-7849
- **Mailing address:** 3400 S LORRAINE CIR, SALT LAKE CITY, UT 84106-4465
- **Mailing address phone:** (801) 793-7849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2025
- **Last updated:** 08/06/2025
