# GOOD GROWTH THERAPY

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

## Provider details

- **NPI number:** 1497592356
- **Authorized official:** DEREK ROBISON LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (801) 725-2680

## Contact information

- **Practice address:** 735 E 9000 S STE 100, SANDY, UT 84094-3089
- **Practice address phone:** (801) 725-2680
- **Mailing address:** PO BOX 575, MIDVALE, UT 84047-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2024
- **Last updated:** 07/09/2024