# RAVEN, LOTUS & GREY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Raven, Lotus & Grey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770299968
- **Authorized official:** AMY PERRY CMHC, NCC (OWNER/THERAPIST)
- **Authorized official phone:** (630) 338-5893

## Contact information

- **Practice address:** 201 E SOUTH TEMPLE APT 133, SALT LAKE CITY, UT 84111-1294
- **Practice address phone:** (630) 338-5893
- **Mailing address:** 201 E SOUTH TEMPLE APT 133, SALT LAKE CITY, UT 84111-1294

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023