Salt Lake Therapy, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SALT LAKE THERAPY, PLLC

Practice address

370 E South Temple Ste 240
Salt Lake City, UT 84111-1262

Phone

(801) 669-2055

NPI assigned

Sep 21, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joellyn Orcutt Manville, LCSWNPI 1003186438

Title

Owner

Phone

(801) 669-2055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joellyn Orcutt Manville, MSW, LCSW

  • Clinical Social Worker
  • SLC, UT
  • NPI 1003186438
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1093594830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE STE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111262",
            "telephone_number": "801-669-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE STE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111262",
            "telephone_number": "801-669-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "MANVILLE",
        "authorized_official_first_name": "JOELLYN",
        "authorized_official_middle_name": "ORCUTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-669-2055",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salt Lake Sports Chiropractic
• Salt Lake Surgery Center, LLC
• Salt Lake Surgical Center LP
• Salt Lake Tennis and Health Club
• Salt Lake Therapy Collective
• Salt Lake Transportation Co., LLC
• Salt Lake Trauma Specialists PLLC
• Salt Lake Vascular Associates, PC
• Salt Lake Weight Counseling
• Salt Lake Wound Care and Hyperbaric

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.