Organization
ROSECREST MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY CHRISTIANSEN LMFT (OWNER/OPERATOR)
(801) 906-1074
Entity
Organization
Contact information
Practice address
7984 S 1300 E, SANDY, UT 84094-0744
(801) 906-1074
Mailing address
7984 S 1300 E, SANDY, UT 84094-0744
(801) 906-1074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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