Organization
RAVENS CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E LENTE LCSW (OWNER)
(801) 835-1534
Entity
Organization
Contact information
Practice address
870 E 9400 S STE 109, SANDY, UT 84094-3687
(801) 835-1534
Mailing address
12781 S SNOW FLOWER CT, RIVERTON, UT 84096-7441
(801) 835-1534
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/11/2025
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