# PIVOTAL TRAUMA COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pivotal Trauma Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790438745
- **Authorized official:** KORILYNN C BARTLEY CMHC, NCC (PRESIDENT)
- **Authorized official phone:** (801) 406-1145

## Contact information

- **Practice address:** 489 W SOUTH JORDAN PKWY STE 200, SOUTH JORDAN, UT 84095-3980
- **Practice address phone:** (801) 406-1145
- **Mailing address:** 10982 S MAPLE FOREST WAY, SOUTH JORDAN, UT 84095-4120
- **Mailing address phone:** (801) 406-1145

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2022
- **Last updated:** 01/31/2022