ANICKA INC (NPI# 1992346704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992346704 |
| Entity Type | Organization |
| Organization Name | ANICKA INC |
| Practice Address |
3195 South Main St Ste 260 South Salt Lake UT 84115 |
| Practice Telephone | 3853336403 |
| Practice Fax Number | 8103037383 |
| Mailing Telephone | 3853336403 |
| Mailing Fax Number | 8103037383 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | CORINNE DALTON (DIRECTOR) |
| Authorized Official Telephone | 8016549391 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
3195 SOUTH MAIN ST STE 260 |
| City | SOUTH SALT LAKE |
| State | UT |
| Zip Code | 84115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| 1952780728 | Kiley Glenn Anderson | Radiologic Technologist | 439 Bryan Avenue, Salt Lake City, UT 84115 | 2015-05-26 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1871145227 | Pinyon Pine Counseling | Clinic/Center | 1240 E 100 S Bldg 23, Saint George, UT 84790-3001 | 2019-07-15 |
| 1225590755 | Amy Henderson Lcsw LLC | Clinic/Center | 4055 S 700 E Ste 102a, Salt Lake City, UT 84107-2174 | 2019-04-03 |
| 1205314747 | North Star Counseling Services | Clinic/Center | 298 24th St Ste 204, Ogden, UT 84401-1870 | 2018-08-06 |
| 1194223867 | Cottonwood Behavioral Counseling LLC | Clinic/Center | 6337 S Highland Dr # 227 Suite 227, Salt Lake City, UT 84121-8558 | 2018-01-29 |
| 1174021281 | Insight Recovery Cedar City LLC | Clinic/Center | 535 S Main St Ste 2, Cedar City, UT 84720-3576 | 2018-01-24 |
| 1265941702 | Silver Creek Psychiatry | Clinic/Center | 1480 E 820 N, Orem, UT 84097-5481 | 2017-09-27 |
| 1336533348 | Salt Lake Weight Counseling | Clinic/Center | 7105 S. Highland Dr. Ste 202, Salt Lake City, UT 84121 | 2015-03-27 |
| 1942690656 | Hughes Therapy 1 | Clinic/Center | 3585 N University Ave Ste 350, Provo, UT 84604-6608 | 2015-02-02 |
| 1174924310 | At The Crossroads | Clinic/Center | 139 North 100 West, St. George, UT 84770 | 2014-09-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SALT LAKE |
| Zip Code | 84115 |
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| 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.