# FAMILY SUPPORT CENTER

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

## Provider details

- **NPI number:** 1821382771
- **Authorized official:** MR. PAUL M RICKS LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (801) 995-9110

## Contact information

- **Practice address:** 3663 S 3600 W, WEST VALLEY CITY, UT 84119-2570
- **Practice address phone:** (801) 967-4259
- **Practice address fax:** (801) 964-1534
- **Mailing address:** 1760 W 4805 S, TAYLORSVILLE, UT 84118-1177
- **Mailing address phone:** (801) 955-9110
- **Mailing address fax:** (801) 955-9411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 17461 | UT | Yes |

## Other

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