# GILEAD THERAPY PROFESSIONAL LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1265180848
- **Authorized official:** BROOKE BRADFORD (OWNER, LCSW)
- **Authorized official phone:** (801) 376-0566

## Contact information

- **Practice address:** 560 S STATE ST STE E1, OREM, UT 84058-6347
- **Practice address phone:** (801) 376-0566
- **Mailing address:** 1898 W 830 N, PROVO, UT 84604-5946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2022
- **Last updated:** 03/14/2022