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PROVO COUNSELING CENTER NPI 1992467963


NPI Information

NPI: 1992467963
Provider Name: PROVO COUNSELING CENTER

Doing Business As: PROVO COUNSELING CENTER

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3325 N UNIVERSITY AVE STE 300
PROVO, UT
ZIP 84604
Phone: (801) 472-7134
Get Directions

PROVO COUNSELING CENTER is a clinical social worker in Provo, UT. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PROVO COUNSELING CENTER NPI is 1992467963. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Provo Counseling Center.

The provider's business location address is:

3325 N UNIVERSITY AVE STE 300
PROVO, UT
ZIP 84604-412
Phone: (801) 472-7134
Fax: (801) 743-7599

The provider's authorized official is Cory Brad Dennis .
The authorized official title is Owner/operator and has the following contact phone number (801) 472-7134.

The enumeration date for this NPI number is 10/7/2021 and was last updated on 8/25/2023.


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 WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11992467963MEDICAIDUTAH

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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