# FELLER BEHAVIORAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1295177038
- **Authorized official:** KELLY CARL FELLER PHD, LCSW (OWNER)
- **Authorized official phone:** (801) 809-1049

## Contact information

- **Practice address:** 537 W 2600 S STE 203, BOUNTIFUL, UT 84010-7780
- **Practice address phone:** (801) 809-1049
- **Mailing address:** 537 W 2600 S STE 203, BOUNTIFUL, UT 84010-7780
- **Mailing address phone:** (801) 809-1049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 7057775-3501 | UT | Yes |

## Other

- **Enumeration date:** 07/22/2013
- **Last updated:** 09/06/2013