# PROVO COUNSELING CENTER

> 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:** Provo Counseling Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992467963
- **Authorized official:** CORY BRAD DENNIS PHC LCSW (OWNER/OPERATOR)
- **Authorized official phone:** (801) 472-7134

## Contact information

- **Practice address:** 3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
- **Practice address phone:** (801) 472-7134
- **Practice address fax:** (801) 743-7599
- **Mailing address:** 3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
- **Mailing address phone:** (801) 472-7134
- **Mailing address fax:** (801) 743-7599

## 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 |

## Other

- **Enumeration date:** 10/07/2021
- **Last updated:** 08/25/2023