Organization · Type 2 NPI

Soul Growth LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Salt Lake City, UT

NPI number 1417469115 Active

Practice location

1719 S Main St
Salt Lake City, UT 84115-1911

Call (307) 389-8044 Map

Mailing address

2011 S 2100 E Apt 306
Salt Lake City, UT 84108-3176

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X10492016-3501 (UT)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

9 other providers at this address

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About NPI 1417469115

Soul Growth LLC's National Provider Identifier is 1417469115, issued on Nov 2, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 14, 2017.