Solasta Healing Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOLASTA HEALING CENTER

Practice address

1404 W State Rd Ste 209
Pleasant Grove, UT 84062-5041

Phone

(385) 250-7478

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Tudsandos

Title

Practice Manager

Phone

(385) 250-7478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1730778234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10082 N OAK RD W",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840629007",
            "telephone_number": "385-250-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 W STATE RD STE 209",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840625041",
            "telephone_number": "385-250-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLASTA HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "TUDSANDOS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "385-250-7478"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.