Organization
WISE SAGE LLC
Active
Parent organization
WISE SAGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISE SAGE LLC
Authorized official
LAUREN MORIARTY LCSW (OWNER)
(216) 409-6814
Entity
Organization
Contact information
Practice address
177 E 900 S, SALT LAKE CITY, UT 84111-4251
(216) 409-6814
Mailing address
1280 E LORRAINE DR, SALT LAKE CITY, UT 84106-2511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
05/02/2026
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