# SPRINGVILLE FAMILY COUNSELING SERVICES

> 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:** Brookside Family Counseling, Brookside Family Counseling Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760104798
- **Authorized official:** MR. BRENT R. HALL LMFT (DIRECTOR)
- **Authorized official phone:** (801) 400-5034

## Contact information

- **Practice address:** 1220 N MAIN ST STE 11, SPRINGVILLE, UT 84663-4016
- **Practice address phone:** (801) 400-5034
- **Practice address fax:** (801) 373-4451
- **Mailing address:** 1220 N MAIN ST STE 11, SPRINGVILLE, UT 84663-4016
- **Mailing address phone:** (801) 400-5034
- **Mailing address fax:** (801) 373-4451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |

## Other

- **Enumeration date:** 09/15/2022
- **Last updated:** 05/30/2023
