# MATTHEW MAYA

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

## Provider details

- **NPI number:** 1568322022
- **Authorized official:** MATTHEW MAYA LCSW (OWNER)
- **Authorized official phone:** (801) 699-1759

## Contact information

- **Practice address:** 11175 S REDWOOD RD, SOUTH JORDAN, UT 84095-8208
- **Practice address phone:** (801) 699-1759
- **Mailing address:** 3778 W PURE NIRVANA LN, HERRIMAN, UT 84096-2602
- **Mailing address phone:** (801) 699-1759

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 01/05/2026