Organization
LIFE CHANGES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELYNDA VINCENT LCSW, MPA (OWNER)
(801) 923-5530
Entity
Organization
Contact information
Practice address
9055 S 1300 E STE 19, SANDY, UT 84094-3133
(801) 923-5530
Mailing address
9055 S 1300 E STE 19, SANDY, UT 84094-3133
(801) 923-5530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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