Provider Demographics
NPI:1194133603
Name:DALEY, LEXIE (PHD, LMFT)
Entity type:Individual
Prefix:
First Name:LEXIE
Middle Name:
Last Name:DALEY
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E 4500 S STE 200
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4470
Mailing Address - Country:US
Mailing Address - Phone:443-975-6577
Mailing Address - Fax:
Practice Address - Street 1:1309 W SOUTH JORDAN PKWY STE 210
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-9002
Practice Address - Country:US
Practice Address - Phone:443-975-6577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist