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

Ezra 1st Medical

Organization Mental Health Counselor · NPI 1952240392

Ezra 1st Medical is a Mental Health Counselor in South Salt Lake, Utah. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2480 S Main St Ste 108
South Salt Lake, UT 84115-5002
Phone: (385) 584-7799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1952240392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryqail Taylor — Owner · (725) 268-4560
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address2480 S Main St Ste 108, South Salt Lake, UT 84115-5002

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