# ENCIRCLE FAMILY AND YOUTH RESOURCE CENTER

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

## Provider details

- **NPI number:** 1619435344
- **Authorized official:** LANDON CREER (CDO)
- **Authorized official phone:** (801) 610-6720

## Contact information

- **Practice address:** 331 S 600 E, SALT LAKE CITY, UT 84102-4013
- **Practice address phone:** (801) 610-6720
- **Mailing address:** 331 S 600 E, SALT LAKE CITY, UT 84102-4013
- **Mailing address phone:** (801) 610-6720

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2019
- **Last updated:** 03/12/2019