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

Organization Addiction (Substance Use Disorder) Counselor · NPI 1164794434

De Novo Services LLC is an Addiction (Substance Use Disorder) Counselor in Salt Lake City, Utah. Registered with an NPI since 2012.

In the registry since
2012
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

339 E 3900 S Ste 155
Salt Lake City, UT 84107-1677
Phone: (801) 263-1056
Fax: (801) 261-3701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Institutional Pharmacy (primary) Taxonomy 3336I0012X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1164794434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Costley — Director / Owner · (801) 263-1056
NPI enumeratedFebruary 2, 2012
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020
Mailing address339 E 3900 S, Suite 155, Salt Lake City, UT 84107-1677

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