Alex Franklin Runolfson

Organization Active NPI Mental Health Counselor · Holladay, UT

NPI 1225569718 · NPPES record last updated Mar 25, 2017

Key facts

NPI
1225569718
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
ALEX FRANKLIN RUNOLFSON
Practice address
2220 E Murray Holladay Rd
Unit 186
Holladay, UT 84117-5377
Phone
(801) 809-6011
NPI assigned
Mar 25, 2017
Organization subpart
No

Authorized official

Name
Alex Runolfson, LCMHC
Title
Owner
Phone
(801) 809-6011

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Alex Franklin Runolfson (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

2220 E Murray Holladay Rd
Unit 186
Holladay, UT 84117-5377

Mailing address

2220 E Murray Holladay Rd
Unit 186
Holladay, UT 84117-5377
Phone (801) 809-6011

Other names

  • Bloom Recovery Doing business as

Other providers in Holladay, UT

All providers in Holladay, UT · Mental Health Counselor in Utah

Sources for this page

Verify at the official NPI Registry.