Organization
GOLDEN GROVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY WHICKER LCSW (OWNER)
(702) 820-6676
Entity
Organization
Contact information
Practice address
885 E 300 S, PROVO, UT 84606-4934
(702) 820-6676
Mailing address
885 E 300 S, PROVO, UT 84606-4934
(702) 820-6676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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