Original Therapy LLC

NPI #1083430011 in Salt Lake City, Utah

Provider Information

NPI Number: 1083430011
Entity Type: Organization
Organization Name: Original Therapy LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 25, 2024
Last Updated: Nov 25, 2024

Practice Location

Address: 455 E 200 S STE 110
City: Salt Lake City
State: Utah
ZIP Code: 84111-2156
Phone: (435) 994-9259

Authorized Official

Name: TONYA LUNDAHL, LCSW
Title: OWNER/DIRECTOR
Phone: (435) 994-9259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Marriage & Family Therapist	106H00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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