Wasatch Front Trail Venture
Organization Active NPI Social Worker · Genola, UT
NPI 1407464886 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1407464886
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- WASATCH FRONT TRAIL VENTURE
- Practice address
- 61 E 1600 N
Genola, UT 84655-5090 - Phone
- (435) 513-2715
- NPI assigned
- Jul 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Morgan Gonzales, LCSW
- Title
- Provider
- Phone
- (435) 513-2715
Practitioners 1
-
Morgan Leslee Gonzales, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
61 E 1600 N
Genola, UT 84655-5090
Mailing address
61 E 1600 N
Genola, UT 84655-5090
Other providers in Genola, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.