Soul Growth LLC
Soul Growth LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2017.
- Licensed in
- UT
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1719 S Main StSalt Lake City, UT 84115-1911
Phone: (307) 389-8044
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence 10492016-3501 (UT) |
|---|
Record details
| NPI number | 1417469115 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Vasa — Mental Health Clinician · (307) 389-8044 |
| NPI enumerated | November 2, 2017 |
| Last updated in NPPES | November 14, 2017 |
| Mailing address | 2011 S 2100 E Apt 306, Salt Lake City, UT 84108-3176 |
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