# GAIA'S WAY THERAPY LLC

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

## Provider details

- **NPI number:** 1679311278
- **Authorized official:** TINA L CALL LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (435) 619-2718

## Contact information

- **Practice address:** 40 N 300 E STE 101, SAINT GEORGE, UT 84770-2900
- **Practice address phone:** (435) 523-9395
- **Mailing address:** 51 S. MAIN STR, BOX 460511, LEEDS, UT 84746-7708
- **Mailing address phone:** (435) 619-2718

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 07/17/2024