NPI 1053125658

Buny Moon Therapy, Pllcs

Organisation Social Worker Salt Lake City, UT

Practice location

Address: 275 E South Temple STE 350, Salt Lake City, UT 84111-1272
Phone: (512) 767-0685
Mailing address: 2205 N Pinecrest Canyon Rd, Salt Lake City, UT 84108-1853

Authorised official

Name: Ivy Rose Marsh
Title: Owner
Phone: (512) 767-0685

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Utah →

Registry record

NPI: 1053125658
Entity type: Organization
NPI issued: 4 Feb 2025
Record last updated: 4 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.