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

Creators Legacy Homes LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1770404279

Creators Legacy Homes LLC is an Addiction (Substance Use Disorder) Counselor in Midvale, Utah. Works from 3 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

332 W Harvard Dr
Midvale, UT 84047-7582
Phone: (801) 946-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 141 E 5600 S Ste 209, Murray, UT 84107-8126 — (801) 946-2323
  • 6541 S Cottonwood St, Salt Lake City, UT 84107-7007 — (801) 946-2323

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1770404279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Vicario — Clinical Director · (801) 946-2323
NPI enumeratedJuly 22, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address636 S 40 E, Salem, UT 84653-9530

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