Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adolescent, Child and Family Therapy Clinic, Inc

Organization Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1083732051

Adolescent, Child and Family Therapy Clinic, Inc is a Psychiatric/Mental Health Clinical Nurse Specialist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

370 E South Temple Ste 550
Salt Lake City, UT 84111-1206
Phone: (801) 652-4937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X · Licence 2152474405 (UT)

Record details

NPI number1083732051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Olds — President · (801) 652-4937
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address515 S 700 E, Ste 3a, Salt Lake City, UT 84102-2873

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