OrganizationActive
Cottonwood Center for Counseling
NPI 1396235156 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salt Lake City, UT
Provider details
- NPI number
- 1396235156
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Vicario, President(801) 946-2323
- License
- 5170621-6004 (UT)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 5170621-6004 (UT)
Ambulatory Health Care Facilities
Practice location
4055 S 700 E Ste 204
Salt Lake City, UT 84107-2504
Phone: (801) 946-2323
Approximate (ZIP-level) locationGet directions
Mailing address
4760 S Woodduck Ln
Slc, UT 84117-4935
Other names (DBA / former)
- Doing business as
- Family Abuse Center for Treatment
Registry dates
- Enumerated
- 2018-05-16
- Last updated
- 2021-09-16
- Certified
- 2021-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.