Functionally Integrative Therapy LLC
NPI #1184503492 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1184503492
- Entity Type
- Organization
- Organization Name
- Functionally Integrative Therapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 29, 2025
- Last Updated
- Aug 29, 2025
Practice Location
- Address
- 5620 S WATERBURY WAY
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84121-1180
- Phone
- (385) 208-6197
Authorized Official
- Name
- STEVEN ROTH, LCSW
- Title
- OWNER/THERAPIST
- Phone
- (385) 208-6197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Social Worker - Clinical — Clinical |
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