# BRIGHT CHANGE THERAPY LLC

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

## Provider details

- **NPI number:** 1811765266
- **Authorized official:** JULIE CHACON LCSW (OWNDER)
- **Authorized official phone:** (385) 269-0727

## Contact information

- **Practice address:** 931 INDUSTRIAL PARK RD STE 20, OREM, UT 84057-2803
- **Practice address phone:** (385) 269-0727
- **Mailing address:** 931 INDUSTRIAL PARK RD STE 20, OREM, UT 84057-2803
- **Mailing address phone:** (385) 269-0727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 1041S0200X | School Social Worker | — | NULL | — |
| 1041S0200X | School Social Worker | — | — | — |

## Other

- **Enumeration date:** 12/15/2023
- **Last updated:** 12/15/2023