Sundance Canyon Therapy, Coaching, and Consulting

NPI #1750806519 in Provo, Utah

Provider Information

NPI Number: 1750806519
Entity Type: Organization
Organization Name: Sundance Canyon Therapy, Coaching, and Consulting
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 13, 2017
Last Updated: Aug 13, 2017

Practice Location

Address: 180 N UNIVERSITY AVE STE 270
City: Provo
State: Utah
ZIP Code: 84601-5648
Phone: (801) 678-4198

Authorized Official

Name: MANDY ERICKSON, LCMHC
Title: THERAPIST
Phone: (801) 678-4198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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