Organization
ORIGINS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLEE HONE (OFFICE MANAGER)
(801) 440-8348
Entity
Organization
Contact information
Practice address
11075 S STATE ST STE 36, SANDY, UT 84070-5188
(801) 440-8348
Mailing address
11075 S STATE ST STE 36, SANDY, UT 84070-5188
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346788171
NPPES
UT
Enumeration date
11/15/2022
Last updated
09/12/2023
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