# HOLBROOK THERAPEUTIC SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447592241
- **Authorized official:** GARRY RICHARD HOLBROOK (OWNER/ LCSW)
- **Authorized official phone:** (435) 676-3020

## Contact information

- **Practice address:** 12670 N 6500 E, SPRING CITY, UT 84662
- **Practice address phone:** (435) 676-3020
- **Practice address fax:** (435) 462-9839
- **Mailing address:** PO BOX 575, SPRING CITY, UT 84662-0575
- **Mailing address phone:** (435) 676-3020
- **Mailing address fax:** (435) 462-9839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 379899-3501 | UT | Yes |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 01/16/2015