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ERICKSON THERAPY AND SCHOOL PSYCHOLOGY NPI 1083265268


NPI Information

NPI: 1083265268
Provider Name: ERICKSON THERAPY AND SCHOOL PSYCHOLOGY

Doing Business As: PROGRESSIVE PATHS THERAPY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1175 S 800 E
OREM, UT
ZIP 84097
Phone: (801) 836-1846
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ERICKSON THERAPY AND SCHOOL PSYCHOLOGY is a mental health (including community mental health center) clinic center in Orem, UT. ERICKSON THERAPY AND SCHOOL PSYCHOLOGY NPI is 1083265268. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Progressive Paths Therapy.

The provider's business location address is:

1175 S 800 E
OREM, UT
ZIP 84097-230
Phone: (801) 836-1846
Fax: (801) 704-5066

The provider's authorized official is Martin J Erickson .
The authorized official title is Owner and has the following contact phone number (801) 752-0266.

The enumeration date for this NPI number is 9/27/2019 and was last updated on 5/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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