Organization
CHILD & FAMILY EMPOWERMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEILANI ANNE TAHOLO LCSW (OWNER/CLINICAL DIRECTOR)
(801) 972-2711
Entity
Organization
Contact information
Practice address
1578 W 1700 S, SUITE #200, SALT LAKE CITY, UT 84104-3470
(801) 972-2711
(801) 972-2709
Mailing address
1578 W 1700 S, SUITE #200, SALT LAKE CITY, UT 84104-3470
(801) 972-2711
(801) 972-2709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
136834-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788049
—
UT
Enumeration date
04/03/2006
Last updated
08/22/2020
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