Organization
SALT LAKE COUNTY YOUTH SERVICES DIVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN HANSEN LCSW (DIVISION DIRECTOR)
(385) 468-4501
Entity
Organization
Contact information
Practice address
177 WEST PRICE AVE, SOUTH SALT LAKE CITY, UT 84115-4345
(801) 269-7500
(801) 269-7547
Mailing address
177 WEST PRICE AVE, SOUTH SALT LAKE CITY, UT 84115-4345
(801) 269-7500
(801) 269-7547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
137956-6004
UT
101YP2500X
Professional Counselor
353260-6004
UT
101YP2500X
Professional Counselor
4909154-6004
UT
101YP2500X
Professional Counselor
5076247-6004
UT
1041C0700X
Clinical Social Worker
331348-3501
UT
1041C0700X
Clinical Social Worker
333128-3501
UT
1041C0700X
Clinical Social Worker
340061-3501
UT
1041C0700X
Clinical Social Worker
347531-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HT002258-002
UTAH HEALTH
UT
05
—
HT004-001
—
UT
Enumeration date
12/27/2010
Last updated
05/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us