LILLY LANDIKUSIC


Address: 749 East Logan Avenue, Salt Lake City, UT 84105
Phone: 8016951316

LILLY LANDIKUSIC (NPI# 1902084411) 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) 1902084411
Entity Type Individual
Full Name LILLY LANDIKUSIC
Credential LMFT
Practice Address 749 East Logan Avenue
Salt Lake City
UT 84105
Mailing Address Po Box 12842
Ogden
UT 84412-2842
Practice Telephone 8016951316
Mailing Telephone 8016951316
Enumeration Date 2008-02-06
Last Update Date 2008-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 326490-3902 UT Behavioral Health & Social Service Providers

Office Location

Street Address 749 EAST LOGAN AVENUE
City SALT LAKE CITY
State UT
Zip Code 84105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285106237 Laiyan H Bawadeen Counselor 1425 700 E Suite #102, Salt Lake City, UT 84105 2018-12-31
1639644255 Claire Elizabeth Gray Marriage & Family Therapist 1425 700 East, Salt Lake City, UT 84105 2018-10-10
1083089643 Celisa Packer Social Worker 2020 E Lake St, Salt Lake City, UT 84105 2015-12-08
1083052963 Christina Elizabeth Burton Nurse Practitioner 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 2013-06-12
1649548355 Leland Burt Cowan Surgery 1405 Princeton Ave, Salt Lake City, UT 84105 2011-12-08
1639460355 Sally Cathleen Webster Counselor 1248 Yale Avenue, Salt Lake City, UT 84105 2011-04-28
1912205105 Melissa Wilson Case Manager/Care Coordinator 1522 S 1100 E, Salt Lake City, UT 84105 2011-03-11
1013215789 Tamara Marie Wright Counselor 1996 Lake St, Salt Lake City, UT 84105 2011-03-04
1144527243 Crystal Nicole Garduno Counselor 1522 South 1100 East, Salt Lake City, UT 84105 2011-02-25
1508011180 Keith Elliott Anesthesiology 1552 South 1000 East, Salt Lake City, UT 84105 2008-11-24
Find all providers in zip 84105

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265052880 Sarah Dawn Finney Marriage & Family Therapist 3390 S Oakwood St, Salt Lake City, UT 84109-3073 2020-04-23
1871153320 Kimberly Lawson Marriage & Family Therapist 1945 S 1100 E Ste 202, Salt Lake City, UT 84106-4092 2019-06-17
1699239988 Meredith Barney Marriage & Family Therapist 1425 S 700 E, Salt Lake City, UT 84105-2125 2019-01-30
1639644255 Claire Elizabeth Gray Marriage & Family Therapist 1425 700 East, Salt Lake City, UT 84105 2018-10-10
1174098073 Catherine Elizabeth Lundell Marriage & Family Therapist 4505 S Wasatch Blvd Ste 290, Salt Lake City, UT 84124-4204 2018-10-06
1114417219 Utah Center for Couples and Families, Pllc Marriage & Family Therapist 4190 S Highland Dr Ste 104, Salt Lake City, UT 84124-2661 2018-05-14
1063948545 Ryan C Smith Marriage & Family Therapist 1977 E Regal Stream Cv, Salt Lake City, UT 84121-5020 2017-05-03
1821453986 Amanda Nelson Marriage & Family Therapist 2150 S Mcclelland St, Apt 217, Salt Lake City, UT 84106-2580 2015-12-16
1992198881 Cynthia R Thorpe Marriage & Family Therapist 2624 East Mount Crest Drive, Salt Lake City, UT 84109 2015-03-17
1861815813 Karin Krueger Marriage & Family Therapist 923 E Executive Park Dr Ste D, Salt Lake City, UT 84117-3558 2014-01-28
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84105

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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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