Organization
SIMPLE MODERN THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER HOLMGREN LMFT (OWNER)
(435) 730-2973
Entity
Organization
Contact information
Practice address
1104 E ASHTON AVE, 212, SALT LAKE CITY, UT 84106-4504
(435) 730-2973
Mailing address
835 E 600 S, SALT LAKE CITY, UT 84102-2908
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
67841063902
UT
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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