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

Creators Legacy of Midvale LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1346161866

Creators Legacy of Midvale LLC is an Addiction (Substance Use Disorder) Counselor in Salt Lake City, Utah. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
5
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

6541 S Cottonwood St
Salt Lake City, UT 84107-7007
Phone: (801) 946-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 141 E 5600 S Ste 209, Murray, UT 84107-8126 — (801) 946-2323

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X

Record details

NPI number1346161866
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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