Organization
BEAN COUNSELING & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS BEAN (OWNER/THERAPIST)
(385) 539-4031
Entity
Organization
Contact information
Practice address
11075 S STATE ST STE 14, SANDY, UT 84070-5194
(385) 539-4031
Mailing address
11075 S STATE ST STE 16, SANDY, UT 84070-5196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8949648-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013215599
TYPE 1 NPI - INDIVIDUAL
—
01
—
1023590932
TYPE 2 NPI- GROUP
UT
Enumeration date
09/06/2018
Last updated
04/29/2025
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