Provider Demographics
NPI:1992886105
Name:ABTS, LAUREL ASHLEY (LMFT, RPT)
Entity type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:ASHLEY
Last Name:ABTS
Suffix:
Gender:F
Credentials:LMFT, RPT
Other - Prefix:MS
Other - First Name:LAUREL
Other - Middle Name:ASHLEY
Other - Last Name:ABTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT, RPT
Mailing Address - Street 1:782 E 12400 S
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-5734
Mailing Address - Country:US
Mailing Address - Phone:801-930-0020
Mailing Address - Fax:801-305-1395
Practice Address - Street 1:782 E 12400 S
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-5734
Practice Address - Country:US
Practice Address - Phone:801-930-0020
Practice Address - Fax:801-305-1395
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6298736-3902101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty