Organization
TRAUMA AWARENESS & TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE DALTON BEALL PH.D. (CLINICAL DIRECTOR)
(801) 263-6367
Entity
Organization
Contact information
Practice address
32 W WINCHESTER ST, SUITE 101, SALT LAKE CITY, UT 84107-5607
(801) 263-6367
(801) 263-6370
Mailing address
32 W WINCHESTER ST, SUITE 101, SALT LAKE CITY, UT 84107-5607
(801) 263-6367
(801) 263-6370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10844
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788591
—
UT
Enumeration date
03/22/2006
Last updated
08/22/2020
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