Organization
CIRCLE OF LIFE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE J REALL M.ED., CMHC (CLINICAL DIRECTOR / OWNER)
(801) 331-6775
Entity
Organization
Contact information
Practice address
3375 MAYFLOWER WAY, SUITE A, LEHI, UT 84043-3134
(801) 331-6775
(801) 766-2010
Mailing address
3375 MAYFLOWER WAY, SUITE A, LEHI, UT 84043-3134
(801) 331-6775
(801) 766-2010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
139247-6004
UT
101YP2500X
Professional Counselor
6819342-6004
UT
1041C0700X
Clinical Social Worker
5172018-3501
UT
Other
Enumeration date
09/18/2012
Last updated
02/23/2024
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