Organization
AXIS-ONE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMORY SINGLETARY (EXECUTIVE ADMINISTRATOR)
(801) 475-0402
Entity
Organization
Contact information
Practice address
5149 SOUTH 1500 WEST, RIVERDALE, UT 84405
(801) 475-0402
(801) 475-7464
Mailing address
5149 SOUTH 1500 WEST, RIVERDALE, UT 84405
(801) 475-0402
(801) 475-7464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
47306713501
UT
101YM0800X
Mental Health Counselor
1418053501
UT
101YM0800X
Mental Health Counselor
Primary
3231733501
UT
101YM0800X
Mental Health Counselor
50176303501
UT
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
49189582601
UT
163WP0808X
Psychiatric/Mental Health Registered Nurse
2083338900
UT
Other
Enumeration date
01/17/2006
Last updated
05/22/2008
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