Organization
THE INTERPERSONAL THERAPY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY GIBBONS (OWNER)
(801) 870-1598
Entity
Organization
Contact information
Practice address
6936 S PROMENADE DR STE 301, COTTONWOOD HEIGHTS, UT 84121-3386
(385) 743-2226
Mailing address
6936 S PROMENADE DR STE 301, COTTONWOOD HEIGHTS, UT 84121-3386
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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