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HOLBROOK THERAPEUTIC SERVICES LLC NPI 1447592241


NPI Information

NPI: 1447592241
Provider Name: HOLBROOK THERAPEUTIC SERVICES, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
12670 N 6500 E
SPRING CITY, UT
ZIP 84662
Phone: (435) 676-3020
Get Directions

HOLBROOK THERAPEUTIC SERVICES, LLC is a clinical social worker in Spring City, 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. HOLBROOK THERAPEUTIC SERVICES, LLC NPI is 1447592241. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12670 N 6500 E
SPRING CITY, UT
ZIP 84662
Phone: (435) 676-3020
Fax: (435) 462-9839

The provider's authorized official is Garry Richard Holbrook .
The authorized official title is Owner/ Lcsw and has the following contact phone number (435) 676-3020.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 1/16/2015.


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
11041C0700XSocial WorkerClinical379899-3501UTAHYes

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
1U000078325MEDICARE PINUTAH

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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