Organization
CLOVER CLINICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PEARL TAYLOR LCSW (OWNER OPERATOR)
(435) 691-5644
Entity
Organization
Contact information
Practice address
635 N MAIN ST STE 683, RICHFIELD, UT 84701-1895
(435) 691-5644
Mailing address
692 W 1ST AVE, RICHFIELD, UT 84701-2434
(435) 691-5644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003637901
NPI
—
01
—
1033878301
NPI
—
01
—
1447070198
NPI
—
Enumeration date
08/22/2025
Last updated
08/22/2025
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