Athan, Stavroula Angeliki

Athan, Stavroula Angeliki is an individual health care provider with primary practice located at 4460 S Highland Dr Ste 210 , Salt Lake City UT 84124-3550. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Athan, Stavroula Angeliki can be contacted via phone (888) 949-4864.

Contact Information

Primary practice address
4460 S Highland Dr Ste 210 Salt Lake City UT 84124-3550
Phone: (888) 949-4864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CO60693159 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 11551867-3904 Utah
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 11551867-3902 Utah

Profile Details

NPI number 1306394259
LBN Legal business name Athan, Stavroula Angeliki
Credentials MHP, LMFTA, CDPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2016
Last updated Sep 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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