# NEUROFEEDBACK CENTERS OF UTAH

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

## Provider details

- **NPI number:** 1912308628
- **Authorized official:** MR. GREG WARDEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (435) 216-7370

## Contact information

- **Practice address:** 216 W SAINT GEORGE BLVD, B5, ST GEORGE, UT 84770-1308
- **Practice address phone:** (435) 216-7370
- **Mailing address:** 216 W SAINT GEORGE BLVD, B5, ST GEORGE, UT 84770-1308
- **Mailing address phone:** (435) 216-7370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 70746733902 | UT | — |
| 101YM0800X | Mental Health Counselor | 70746733902 | UT | Yes |
| 101YP2500X | Professional Counselor | 70746733902 | UT | — |
| 104100000X | Social Worker | 70746733902 | UT | — |
| 106H00000X | Marriage & Family Therapist | 70746733902 | UT | — |

## Other

- **Enumeration date:** 09/12/2014
- **Last updated:** 09/12/2014