# DYBREAK BEHAVIORAL HEALTHCARE

> 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
- **Other names:** Daybreak Behavioral Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730251844
- **Authorized official:** MR. STAN FILLMORE LCSW (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (801) 451-4843

## Contact information

- **Practice address:** 117 WEST 200 SOUTH, FARMINGTON, UT 84025-1036
- **Practice address phone:** (801) 451-4843
- **Practice address fax:** (801) 451-2839
- **Mailing address:** PO BOX 1036, 117 WEST 200 SOUTH, FARMINGTON, UT 84025-1036
- **Mailing address phone:** (801) 451-4843
- **Mailing address fax:** (801) 451-2839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020