Provider Demographics
NPI: | 1962758573 |
---|---|
Name: | HELPING HANDS COUNSELING, LLC |
Entity type: | Organization |
Organization Name: | HELPING HANDS COUNSELING, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | LCSW |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LYDIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MIDGLEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 801-755-5531 |
Mailing Address - Street 1: | 11075 S STATE ST |
Mailing Address - Street 2: | STE 30 |
Mailing Address - City: | SANDY |
Mailing Address - State: | UT |
Mailing Address - Zip Code: | 84070-5164 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 801-755-5531 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 11075 S STATE ST |
Practice Address - Street 2: | STE 30 |
Practice Address - City: | SANDY |
Practice Address - State: | UT |
Practice Address - Zip Code: | 84070-5164 |
Practice Address - Country: | US |
Practice Address - Phone: | 801-755-5531 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-08-01 |
Last Update Date: | 2012-08-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
UT | 6623582-3502 | 104100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Single Specialty |