Organization
WILD IRIS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA WATERS LCSW (OWNER)
(804) 543-8999
Entity
Organization
Contact information
Practice address
1518 S 1100 E STE B, SALT LAKE CITY, UT 84105-2579
(385) 355-1799
Mailing address
842 E STRATFORD AVE, SALT LAKE CITY, UT 84106-1716
(804) 543-8999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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