# ASSESSMENT, COUNSELING, & EDUCATIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154614964
- **Authorized official:** MR. ISAAC MICHAEL PHILLIPS LCSW (ASSOCIATE DIRECTOR, THERAPIST)
- **Authorized official phone:** (801) 265-8000

## Contact information

- **Practice address:** 2970 S MAIN ST STE 200, SALT LAKE CITY, UT 84115-6034
- **Practice address phone:** (801) 265-8000
- **Practice address fax:** (801) 265-8004
- **Mailing address:** 2970 S MAIN ST STE 200, SALT LAKE CITY, UT 84115-6034
- **Mailing address phone:** (801) 265-8000
- **Mailing address fax:** (801) 265-8004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6613419-3501 | UT | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 06/28/2011