MEDICARE: BRIAN PULSIPHER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor	10382594-3501	UT
3	101YP2500X	Professional Counselor
4	1041C0700X	Clinical Social Worker		UT

General Provider Information

NPI Number	:	1891153102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN PULSIPHER LCSW

Provider Business Mailing Address
First Line	:	613 E FORT UNION BLVD STE 104
Second Line	:
City	:	MIDVALE
State	:	UT
Zip	:	84047-5531
Country	:	US
Telephone Number	:	801-984-1717
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 E FORT UNION BLVD STE 104
Second Line	:
City	:	MIDVALE
State	:	UT
Zip	:	84047-5531
Country	:	US
Telephone Number	:	801-984-1717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2016
Last Update Date	:	06/12/2024

Similar Medicare Providers

1942206370 — SLEEPWELL PARTNERS, LLC
Practice Location Address:

613 FORT UNION BLVD , STE 102-A
MIDVALE, UT
84047-5531

Practice Phone: 801-523-7533
Practice Fax: 801-523-3707

1942374020 — GREGORY D HAMMOND MD
Practice Location Address:

613 E FORT UNION , SUITE #A102
MIDVALE, UT
84047-5531

Practice Phone: 801-294-9333
Practice Fax: 801-294-7558

1316272354 — AMY GILLESPIE LCSW
Practice Location Address:

613 E FORT UNION BLVD STE 104
MIDVALE, UT
84047-5531

Practice Phone: 801-984-1717
Practice Fax: 801-984-1720

1164802773 — TRIONA MCMASTER
Practice Location Address:

613 E FORT UNION BLVD STE 104
MIDVALE, UT
84047-5531

Practice Phone: 801-984-1717
Practice Fax: 801-980-7222

1528578440 — LISA SOVINSKY LCSW
Practice Location Address:

613 E FORT UNION BLVD STE 104
MIDVALE, UT
84047-5531

Practice Phone: 801-984-1717
Practice Fax: 801-984-1720

1649733205 — DANETTE LEE LARSEN CMHC
Practice Location Address:

613 E FORT UNION BLVD STE 104
MIDVALE, UT
84047-5531

Practice Phone: 801-984-1717
Practice Fax: 801-984-1720

Directions to “ BRIAN PULSIPHER LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.