Aldea Healing Center PLLC

Key facts

NPI

1093409146

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

ALDEA HEALING CENTER PLLC

Practice address

11075 S State St Ste 3101
Sandy, UT 84070-5164

Phone

(321) 754-4884

NPI assigned

Jun 2, 2023

Organization subpart

No

Authorized official

Name

Gina Toledo, LCSW NPI 1295206852

Title

Therapist

Phone

(801) 556-4826

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Toledo School Social Worker · Sandy, UT · NPI 1295206852
  NPD Authorized official
• Ashley Cuevas Peer Specialist · Sandy, UT · NPI 1063363778
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2024.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1093409146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12562 S KIMBER LN",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840654310",
            "telephone_number": "801-556-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 3101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705164",
            "telephone_number": "321-754-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEA HEALING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "801-556-4826",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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