Organization
GRANDVIEW FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY WILLARD LCSW (OWNER)
(801) 550-9057
Entity
Organization
Contact information
Practice address
1576 S 500 W, SUITE 202, WOODS CROSS, UT 84010-7433
(801) 406-9002
(801) 294-5286
Mailing address
1576 S 500 W, SUITE 202, WOODS CROSS, UT 84010-7433
(801) 406-9002
(801) 294-5286
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3582863501
UT
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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