# EXPANSIVE HORIZONS COUNSELING & PSYCHOLOGICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1922550136
- **Authorized official:** LIZA SANDERSON PSYD (PRESIDENT)
- **Authorized official phone:** (801) 360-6955

## Contact information

- **Practice address:** 228 WEST 200 SOUTH, SUITE 2E, KAMAS, UT 84036
- **Practice address phone:** (801) 360-6955
- **Mailing address:** 596 ASH COURT, KAMAS, UT 84036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 8493271-6004 | UT | Yes |
| 251S00000X | Community/Behavioral Health Agency | 8493271-6004 | UT | — |

## Other

- **Enumeration date:** 11/04/2016
- **Last updated:** 11/04/2016