Sundance Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

8106626-3501 Issued in UT

Legal business name

SUNDANCE COUNSELING LLC

Doing business as

Sundance Counseling LLC

Practice address

700 Bitner Rd Ste 105
Park City, UT 84098-5489

Phone

(435) 649-3617

Fax

(435) 649-9687

NPI assigned

Sep 28, 2011

Organization subpart

No

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

Authorized official

Name

Marcia Jean Kilpatrick

Title

Sole Propreitor

Phone

(435) 649-3617

Specialties & licenses 1

Addresses

Other names 1

• Sundance Counseling LLC Doing business as

Locations

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1295019024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BITNER RD STE 105",
            "address_2": "PO BOX 980901",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985489",
            "telephone_number": "435-649-3617",
            "fax_number": "435-649-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BITNER RD STE 105",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985489",
            "telephone_number": "435-649-3617",
            "fax_number": "435-649-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SOLE PROPREITOR",
        "authorized_official_telephone_number": "435-649-3617"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8106626-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Park City, UT
• Providers in Park City, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.