MRS. LAURA RENAY RUSSELL


Address: 1208 E 3300 S, Salt Lake City, UT 84106-2522
Phone: 8014831600

MRS. LAURA RENAY RUSSELL (NPI# 1396377917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396377917
Entity Type Individual
Full Name MRS. LAURA RENAY RUSSELL
Credential CMHC
Practice Address 1208 E 3300 S
Salt Lake City
UT 84106-2522
Mailing Address 11662 S Oakmond Rd
South Jordan
UT 84009-5049
Practice Telephone 8014831600
Practice Fax Number 8014831610
Mailing Telephone 3853949616
Mailing Fax Number 8014831610
Enumeration Date 2020-02-11
Last Update Date 2020-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
10322316-6004 UT Behavioral Health & Social Service Providers

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1609230713 Laura Russell Student in an Organized Health Care Education/Training Program 470 Main St, Mashpee, MA 02649-2047 2016-04-06
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1679818074 Laura J Russell Counselor 29 Millard Farmer Ind Blvd, Suite B1, Newnan, GA 30263-5821 2012-12-11
1710261110 Laura Michelle Russell Pharmacist 3001 E Market St, Greensboro, NC 27405-7525 2011-10-04
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Office Location

Street Address 1208 E 3300 S
City SALT LAKE CITY
State UT
Zip Code 84106-2522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700836996 Jeff Croft Kocherhans Psychologist 1208 E 3300 S, Salt Lake City, UT 84106-2522 2006-05-11
1942822770 Amy Olsen Davis Counselor 1208 E 3300 S, Salt Lake City, UT 84106-2522 2020-05-14
1841857315 Steven Niel Nickolaisen Psychologist 1208 E 3300 S, Salt Lake City, UT 84106-2522 2019-05-21
1073090379 Julia Kronholz Psychologist 1208 E 3300 S, Salt Lake City, UT 84106-2522 2018-07-19
1376032672 Symbiosis Counseling Clinic/Center 1208 E 3300 S, Salt Lake City, UT 84106-2522 2018-05-02
1700245065 Lauren P. Greenberg Psychologist 1208 E 3300 S, Salt Lake City, UT 84106-2522 2016-02-15
1477805372 Leeanne Merin Hess Social Worker 1208 E 3300 S, Salt Lake City, UT 84106-2522 2012-10-03
1639432750 Aline Devaud Social Worker 1208 E 3300 S, Salt Lake City, UT 84106-2522 2012-06-22
1902035892 Linda Ryver Hackett Counselor 1208 E 3300 S, Salt Lake City, UT 84106-2522 2009-07-13
1396970786 Molly Kathleen Chynoweth Prentice Social Worker 1208 E 3300 S, Salt Lake City, UT 84106-2522 2009-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801400015 Tyra Mae Vance Counselor 3375 S 880 E, Salt Lake City, UT 84106 2020-09-04
1316596554 Adam Davies Pharmacist 1280 E Stringham Ave., Salt Lake City, UT 84106 2019-09-10
1558919142 University of Utah Pharmacy 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 2019-08-28
1588174064 Aaron Potts Naturopath 1945 1100 E, #100, Salt Lake City, UT 84106 2017-10-10
1801335005 Gretchen Dennison Nurse Practitioner 2138 S Highland Dr, Salt Lake City, UT 84106 2017-02-21
1376095794 Jeannette Daneals Naturopath 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 2016-11-02
1073908703 Tracey Steinmetz Massage Therapist 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 2015-03-31
1275949091 Amy Deforest Edwards Counselor Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 2014-07-02
1194138636 Hillary Lowe Taggart Nurse Practitioner 3369 S Highland Dr, Salt Lake City, UT 84106 2014-06-03
1487086617 Herald R. Clark, Dds Dentist 3643 S. Highland Drive, Salt Lake City, UT 84106 2013-07-30
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1477166759 Utah Infertility Resource Center Counselor 1565 E 3300 S, Salt Lake City, UT 84106-3370 2020-08-26
1689292658 Truu Management Counselor 1554 S State St, Salt Lake City, UT 84115-1632 2020-07-07
1275169823 Ashley White Counselor 1190 S 300 E, Salt Lake City, UT 84111-4636 2020-03-16
1184257107 Richard Gregg Buxton Counselor 739 S 300 W Unit 113, Salt Lake City, UT 84101-2617 2020-02-18
1609416254 Rmc Counseling Counselor 155 E 900 S Ste 111213, Salt Lake City, UT 84111-4229 2020-01-12
1114563681 Caroline Graham Counselor 131 E 700 S, Salt Lake City, UT 84111-3805 2019-11-20
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Competitor

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City SALT LAKE CITY
Zip Code 84106

Improve Information

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Dataset Information

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.

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