1992886105 NPI number — MS. LAUREL ASHLEY ABTS LMFT, RPT

Table of content: MS. LAUREL ASHLEY ABTS LMFT, RPT (NPI 1992886105)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992886105 NPI number — MS. LAUREL ASHLEY ABTS LMFT, RPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABTS
Provider First Name:
LAUREL
Provider Middle Name:
ASHLEY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT, RPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ABTS
Provider Other First Name:
LAUREL
Provider Other Middle Name:
ASHLEY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT, RPT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1992886105
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
782 E 12400 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DRAPER
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84020-5734
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-930-0020
Provider Business Mailing Address Fax Number:
801-305-1395

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
782 E 12400 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DRAPER
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84020-5734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-930-0020
Provider Business Practice Location Address Fax Number:
801-305-1395
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  6298736-3902 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com