Organization
CANYON CREST COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAVEN HERD CMHC (OWNER)
(801) 557-7218
Entity
Organization
Contact information
Practice address
10416 S 1055 W STE 201, SOUTH JORDAN, UT 84095-1503
(435) 339-4758
Mailing address
2549 E ALTAMONT CIR, SANDY, UT 84092-3301
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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