Organization
HOLISTIC COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHAR LAWRENCE LCSW (OWNER)
(801) 867-2674
Entity
Organization
Contact information
Practice address
9886 S REDWOOD RD ST C, WEST JORDAN, UT 84088
(801) 867-2674
Mailing address
952 W 965 N APT 205, OREM, UT 84057-4154
(801) 867-2674
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
05
—
1609346014
—
UT
Enumeration date
08/04/2021
Last updated
08/04/2021
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