Organization
LILAC WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINA DRYDEN LCSW (OWNER)
(484) 620-4100
Entity
Organization
Contact information
Practice address
740 E 300 S APT 402, SALT LAKE CITY, UT 84102-2262
(484) 620-4100
Mailing address
740 E 300 S APT 402, SALT LAKE CITY, UT 84102-2262
(484) 620-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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