# SOLASTA HEALING CENTER

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

## Provider details

- **NPI number:** 1730778234
- **Authorized official:** KRISTIN TUDSANDOS (PRACTICE MANAGER)
- **Authorized official phone:** (385) 250-7478

## Contact information

- **Practice address:** 1404 W STATE RD STE 209, PLEASANT GROVE, UT 84062-5041
- **Practice address phone:** (385) 250-7478
- **Mailing address:** 10082 N OAK RD W, CEDAR HILLS, UT 84062-9007
- **Mailing address phone:** (385) 250-7478

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2021
- **Last updated:** 01/11/2021