# OGDEN CENTER FOR CHANGE, LLC

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

## Provider details

- **NPI number:** 1417581950
- **Authorized official:** DAVID PAUL JOHNSON PHD (PSYCHOLOGIST/CO-OWNER)
- **Authorized official phone:** (801) 781-5733

## Contact information

- **Practice address:** 3670 QUINCY AVE STE 105, OGDEN, UT 84403-1993
- **Practice address phone:** (801) 781-5733
- **Practice address fax:** (801) 899-6634
- **Mailing address:** 3670 QUINCY AVE STE 105, OGDEN, UT 84403-1993
- **Mailing address phone:** (801) 781-5733
- **Mailing address fax:** (801) 899-6634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 02/24/2020
- **Last updated:** 04/13/2022