Search › Utah › 101YM0800X
Carol Lawrencecostley
NPI 1801407929 · on the registry since 2020 · sole proprietor
Practice
- Address
- 339 E 3900 S Ste 155
Salt Lake City, UT 84107 - Phone
- (801) 263-1056
- Fax
- (801) 261-3701
- Organisation at this address
- Cold Front Pharmacy
De Novo Services Llc
Future Rising Agency
Metamorphosis Salt Lake City, Inc.
Rise Above Forensics Behavioral Assessment And Counseling LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah