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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CREATORS LEGACY OF MIDVALE LLC
NPI 1346161866
Counselor - Mental Health in Salt Lake City, UT

Active since July 22, 2026
6541 S COTTONWOOD ST, SALT LAKE CITY, UT 84107(801) 946-2323 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Creators Legacy Of Midvale Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATORS LEGACY OF MIDVALE LLC (NPI 1346161866) is a healthcare organization registered as a mental health in Salt Lake City, Utah and active in the NPI registry since July 2026. The organization maintains a secondary practice location in Murray and lists Matthew Joseph Vicario, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1346161866
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCREATORS LEGACY OF MIDVALE LLC
Location Address6541 S COTTONWOOD STSalt Lake City, UT 84107-7007
Mailing Address636 S 40 ESalem, UT 84653-9530 · (801) 946-2323
Phone(801) 946-2323
Organization SubpartNo
Authorized OfficialMatthew Joseph VicarioClinical Director · (801) 946-2323
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1346161866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedOccupational Therapist · Physical RehabilitationTaxonomy 225XP0019X
6541 S COTTONWOOD ST, Salt Lake City, UT 84107
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Secondary Practice Location 1

Location 1141 E 5600 S Ste 209Murray, UT 84107-8126 · Phone (801) 946-2323

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creators Legacy Of Midvale LLC's NPI number?

The NPI number for Creators Legacy Of Midvale LLC is 1346161866. It was assigned to this organization in the NPPES registry on July 22, 2026.

Where is Creators Legacy Of Midvale LLC located?

Creators Legacy Of Midvale LLC is located at 6541 S Cottonwood St, Salt Lake City, UT 84107. The listed phone number is (801) 946-2323.

What is Creators Legacy Of Midvale LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Creators Legacy Of Midvale LLC was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.