Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MODERN FAMILY THERAPY SERVICES LIMITED LIABILITY COMPANY
Active
Organization
MODERN FAMILY THERAPY SERVICES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA WILLARD (OWNER)
(801) 917-9601
Entity
Organization
Contact information
Practice address
5131 S 1500 W, RIVERDALE, UT 84405-3926
(801) 917-9601
Mailing address
5131 S 1500 W, RIVERDALE, UT 84405-3926
(801) 917-9601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
09/18/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers