# FAMILY SUPPORT CENTER

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

## Provider details

- **NPI number:** 1730473786
- **Authorized official:** MR. PAUL M RICKS LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (801) 955-9110

## Contact information

- **Practice address:** 2020 LAKE ST, SALT LAKE CITY, UT 84105-3119
- **Practice address phone:** (801) 487-7778
- **Practice address fax:** (801) 487-2942
- **Mailing address:** 1760 W 4805 S, TAYLORSVILLE, UT 84118-1177
- **Mailing address phone:** (801) 955-9110
- **Mailing address fax:** (801) 955-9110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 17460 | UT | Yes |

## Other

- **Enumeration date:** 06/07/2011
- **Last updated:** 06/07/2011