Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ezra 1st Medical

Organization Mental Health Counselor · NPI 1952240392

Ezra 1st Medical provides Mental Health Counselor services in South Salt Lake, Utah. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2480 S Main St Ste 108
South Salt Lake, UT 84115-5002
Phone: (385) 584-7799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1952240392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryqail Taylor — Owner · (725) 268-4560
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address2480 S Main St Ste 108, South Salt Lake, UT 84115-5002

Other providers in South Salt Lake