Provider Demographics
NPI:1285529461
Name:FALCK THERAPY
Entity type:Organization
Organization Name:FALCK THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCK
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-449-1847
Mailing Address - Street 1:7087 S 1300 W
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84084-3411
Mailing Address - Country:US
Mailing Address - Phone:801-449-1847
Mailing Address - Fax:801-769-0592
Practice Address - Street 1:6975 S UNION PARK CTR STE 600
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84047-4187
Practice Address - Country:US
Practice Address - Phone:801-449-1847
Practice Address - Fax:801-769-0592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty