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Organization

RAVEN, LOTUS & GREY, PLLC

Active
Other names
Raven, Lotus & Grey
Organization subpart
No

Provider details

NPI number
Authorized official
AMY PERRY CMHC, NCC (OWNER/THERAPIST)
(630) 338-5893
Entity
Organization

Contact information

Practice address
201 E SOUTH TEMPLE APT 133, SALT LAKE CITY, UT 84111-1294
(630) 338-5893
Mailing address
201 E SOUTH TEMPLE APT 133, SALT LAKE CITY, UT 84111-1294

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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