# SYSTEMS-BASED THERAPY, PLLC

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

## Provider details

- **NPI number:** 1477366904
- **Authorized official:** DR. SPENCER DRAGE BRADSHAW PHD (OWNER)
- **Authorized official phone:** (801) 450-6936

## Contact information

- **Practice address:** 550 N MAIN ST STE 200, LOGAN, UT 84321-3986
- **Practice address phone:** (801) 450-6936
- **Mailing address:** 872 ORCHARD DR, RIVER HEIGHTS, UT 84321-5643
- **Mailing address phone:** (801) 450-6936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2025
- **Last updated:** 01/29/2025