Therapeutic Center For Change Pc in Farmington - Clinical
Therapeutic Center For Change Pc - NPI 1720262025
Therapeutic Center For Change Pc is a Clinical in Farmington, Utah. Therapeutic Center For Change Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Therapeutic Center For Change Pc is 1720262025. The last update date is 2007-12-21.
Therapeutic Center For Change Pc's current location address is 1466 N Highway 89 Ste 230, Farmington, Utah. You can contact this provider via phone number 8016680490 and fax number 8017370099. The mailing address for Therapeutic Center For Change Pc is 1466 N Highway 89 Ste 230, Farmington, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Therapeutic Center For Change Pc |
|---|---|
| Address | 1466 N Highway 89 Ste 230, Farmington, Utah |
| Phone Number | 8016680490 |
| Fax Number | 8017370099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Tuttle B Linda |
| Credentials | LCSW |
| Telephone Number | 8016680490 |
NPI Number Detail
| NPI Number | 1720262025 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | 1466 N Highway 89 Ste 230 |
|---|---|
| City | Farmington |
| State | Utah (UT) |
| Post Code | 840252738 |
| Phone Number | 8016680490 |
| Fax Number | 8017370099 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Therapeutic Center For Change Pc?
The Therapeutic Center For Change Pc has been issued the NPI (National Provider Identifier) 1720262025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Therapeutic Center For Change Pc is located?
The Therapeutic Center For Change Pc is situated at the following address: 1466 N Highway 89 Ste 230, Farmington, UT, 840252738.
What is Therapeutic Center For Change Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Therapeutic Center For Change Pc is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720262025 to Therapeutic Center For Change Pc?
The Therapeutic Center For Change Pc received its 1720262025 assignment from the Centers for Medicare & Medicaid Services on 2007-12-21.
As of what date was the information regarding Therapeutic Center For Change Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Therapeutic Center For Change Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-21.
NPI Number: 1013917590
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