Organization
GOGIVERS FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENOA MOALA (PROGRAM DIRECTOR)
(801) 403-0033
Entity
Organization
Contact information
Practice address
2455 E PARLEYS WAY STE 220, SALT LAKE CITY, UT 84109-1252
(801) 403-0033
Mailing address
2455 E PARLEYS WAY STE 220, SALT LAKE CITY, UT 84109-1252
(801) 403-0033
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
03/01/2024
Last updated
03/06/2024
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