# LIFE CHANGING THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** YES
- **Other names:** Richard H. Bashaw LCSW, LLC and Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477799567
- **Legal business name:** YES
- **Authorized official:** MR. RICHARD HOLLIS BASHAW MSW (AGENCY MANAGER)
- **Authorized official phone:** (801) 918-9688

## Contact information

- **Practice address:** 1800 S WEST TEMPLE, SUITE A332, SALT LAKE CITY, UT 84115-1851
- **Practice address phone:** (801) 918-9688
- **Practice address fax:** (801) 446-7874
- **Mailing address:** 1800 S WEST TEMPLE, SUITE A332, SALT LAKE CITY, UT 84115-1851
- **Mailing address phone:** (801) 918-9688
- **Mailing address fax:** (801) 446-7874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0683 | UT | Yes |

## Other

- **Enumeration date:** 12/20/2008
- **Last updated:** 12/20/2008