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

Moonbridge Therapy LLC

Organization Mental Health Counselor · NPI 1679395362

Moonbridge Therapy LLC is a Mental Health Counselor in Bountiful, Utah. Registered with an NPI since 2024.

In the registry since
2024
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

503 W 2600 S Ste 200 A
Bountiful, UT 84010
Phone: (801) 251-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1679395362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Klitgaard — Owner · (801) 251-6431
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 24, 2024
Mailing addressPo Box 540032, North Salt Lake, UT 84054-0032

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