Healthcare Provider Details

I. General information

NPI: 1194965624
Provider Name (Legal Business Name): HB CONSULTING & THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 04/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 W HARDING AVE SUITE C7
CEDAR CITY UT
84720-2695
US

IV. Provider business mailing address

PO BOX 2041
CEDAR CITY UT
84721-2041
US

V. Phone/Fax

Practice location:
  • Phone: 435-867-5475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number343853-6004
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5142142-3501
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number117395-3902
License Number StateUT

VIII. Authorized Official

Name: HELEN B JOHNSON
Title or Position: THERAPIST
Credential: LPC
Phone: 435-590-4411