FIREFLY ADDICTION & FAMILY THERAPY


Address: 1270 E 8600 S, Suite 3, Sandy, UT 84094-1200
Phone: 8016769160

FIREFLY ADDICTION & FAMILY THERAPY (NPI# 1679956437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679956437
Entity Type Organization
Organization Name FIREFLY ADDICTION & FAMILY THERAPY
Practice Address 1270 E 8600 S
Suite 3
Sandy
UT 84094-1200
Practice Telephone 8016769160
Mailing Telephone 8016769160
Enumeration Date 2015-06-29
Last Update Date 2015-06-29
Authorized Official Name MELISSA JEAN MEZA (CLINICAL DIRECTOR)
Authorized Official Telephone 8016769160
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
79799323902 UT Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
79799323902 UT Behavioral Health & Social Service Providers

Office Location

Street Address 1270 E 8600 S
SUITE 3
City SANDY
State UT
Zip Code 84094-1200

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1770919714 Bojan Jurosevic Physical Therapist 7940 South 1300 East, Sandy, UT 84094 2013-09-23
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1669909461 Corinne Sullivan Counselor 8686 S 1300 E, Sandy, UT 84094-1947 2017-05-11
1730550690 Ryan Barber Counselor 8961 S Stony Bend Ct, Sandy, UT 84094-7713 2015-10-16
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1154834398 Alema Harrington Counselor 9160 S 300 W Ste 13, Sandy, UT 84070-2656 2017-11-09
1306278999 Tammie Lue Dusoe Counselor 8465 S 700 E, Sandy, UT 84070-0501 2013-08-06
1275848699 Sage J O'brien Counselor 230 W Towne Ridge Pkwy Ste 225, Sandy, UT 84070-2113 2010-08-10
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Competitor

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City SANDY
Zip Code 84094

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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