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WASATCH BACK VENTURE TRAIL NPI 1407466089


NPI Information

NPI: 1407466089
Provider Name: WASATCH BACK VENTURE TRAIL
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
3585 N UNIVERSITY AVE STE 250
PROVO, UT
ZIP 84604
Phone: (435) 513-2715
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WASATCH BACK VENTURE TRAIL is a social worker in Provo, UT. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. WASATCH BACK VENTURE TRAIL NPI is 1407466089. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3585 N UNIVERSITY AVE STE 250
PROVO, UT
ZIP 84604-622
Phone: (435) 513-2715

The provider's authorized official is Megan Perry .
The authorized official title is Owner and has the following contact phone number (435) 513-2715.

The enumeration date for this NPI number is 8/7/2020 and was last updated on 8/7/2020.


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
1104100000XSocial WorkerYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.