Organization
BECOMING EXCEPTIONAL LLC
Active
Other names
Becoming Exceptional LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA LAURITZEN LCSW (FOUNDER/LCSW)
(801) 989-0014
Entity
Organization
Contact information
Practice address
1140 36TH ST STE 270, OGDEN, UT 84403-2064
(385) 288-1993
Mailing address
1140 36TH ST STE 270, OGDEN, UT 84403-2064
(385) 288-1993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831688621
LCSW
UT
Enumeration date
06/25/2022
Last updated
05/25/2023
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