Organization
CRADLED SOUL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA J VAN NOY LCSW (LCSW/OWNER)
(435) 850-9708
Entity
Organization
Contact information
Practice address
238 E ROCKWOOD WAY, STANSBURY PARK, UT 84074-5573
(801) 508-4156
Mailing address
238 E ROCKWOOD WAY, STANSBURY PARK, UT 84074-5573
(801) 508-4156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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