# LIT LYNNY'S INNER THERAPY

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

## Provider details

- **NPI number:** 1992470561
- **Authorized official:** KATHERINE ROSE CHENGAPPA SSW (DIRECTOR OF ADMINISTRATION)
- **Authorized official phone:** (385) 337-4391

## Contact information

- **Practice address:** 314 W BROADWAY STE 222, SALT LAKE CITY, UT 84101-2038
- **Practice address phone:** (385) 337-4391
- **Mailing address:** PO BOX 16621, SALT LAKE CITY, UT 84116-0621
- **Mailing address phone:** (385) 337-4391

## Taxonomy

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

## Other

- **Enumeration date:** 08/15/2021
- **Last updated:** 08/17/2021