Provider Demographics
NPI:1871336859
Name:CHILDREN'S COUNSELING CENTER UTAH, INC
Entity type:Organization
Organization Name:CHILDREN'S COUNSELING CENTER UTAH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:FINDEIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-636-3644
Mailing Address - Street 1:2975 W EXECUTIVE PKWY STE 193
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-4717
Mailing Address - Country:US
Mailing Address - Phone:801-636-3644
Mailing Address - Fax:
Practice Address - Street 1:2975 W EXECUTIVE PKWY
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-9642
Practice Address - Country:US
Practice Address - Phone:801-636-3644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty