# INTEGRUM PSYCHOTHERAPY, LLC

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

## Provider details

- **NPI number:** 1619455714
- **Authorized official:** RYAN WALTER MORGAN LCSW (OWNER)
- **Authorized official phone:** (202) 487-5244

## Contact information

- **Practice address:** 1174 E GRAYSTONE WAY STE 6, SALT LAKE CITY, UT 84106-2671
- **Practice address phone:** (801) 683-5330
- **Mailing address:** 1584 E GLEN ARBOR ST, SALT LAKE CITY, UT 84105-3813
- **Mailing address phone:** (919) 949-0486

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2018
- **Last updated:** 07/31/2018