# COMMUNITY COLLECTIVE, LLC

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

## Provider details

- **NPI number:** 1982537411
- **Authorized official:** COREY HICKMAN (CEO)
- **Authorized official phone:** (801) 410-0160

## Contact information

- **Practice address:** 11706 S 700 E, DRAPER, UT 84020-9365
- **Practice address phone:** (801) 523-3479
- **Practice address fax:** (801) 788-0577
- **Mailing address:** 11706 S 700 E, DRAPER, UT 84020-9365
- **Mailing address phone:** (801) 523-3479
- **Mailing address fax:** (801) 788-0577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2026
- **Last updated:** 06/04/2026