Organization
COUNSELING CENTERS OF UTAH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRIANN PARKS BEYERS (OWNER)
(801) 558-7054
Entity
Organization
Contact information
Practice address
9192 S 300 W STE 19, SANDY, UT 84070-2673
(801) 558-7054
(801) 523-9239
Mailing address
456 E BREWSTER DR, DRAPER, UT 84020-5151
(801) 558-7054
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
74078
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
CLINICAL SOCIAL WORK
UT
Enumeration date
03/28/2013
Last updated
04/24/2020
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