Organization
AUTHENTICALLY YOU MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAEIZA JAVED LCSW (SOLE MBR/OWNER/DIRECTOR)
(801) 634-3782
Entity
Organization
Contact information
Practice address
5506 W BAILIFF DR, KEARNS, UT 84118-7302
(385) 217-4087
(801) 203-5160
Mailing address
5506 W BAILIFF DR, KEARNS, UT 84118-7302
(385) 217-4087
(801) 203-5160
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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