Mountain View Family Therapy LLC

NPI #1790266682 in Riverton, Utah

Provider Information

NPI Number: 1790266682
Entity Type: Organization
Organization Name: Mountain View Family Therapy LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 28, 2018
Last Updated: Nov 16, 2019

Practice Location

Address: 1273 W 12600 S STE 403
City: Riverton
State: Utah
ZIP Code: 84065-7111
Phone: (801) 930-0411

Authorized Official

Name: TRACIE PENUNURI, LCSW
Title: OWNER/CLINICAL DIRECTOR
Phone: (801) 930-0411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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