Healthcare Provider Details

I. General information

NPI: 1205488772
Provider Name (Legal Business Name): CAME2BELIEVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 S STATE ST STE 230
CLEARFIELD UT
84015-1001
US

IV. Provider business mailing address

95 N MAIN ST
WILLARD UT
84340-9738
US

V. Phone/Fax

Practice location:
  • Phone: 801-781-0959
  • Fax:
Mailing address:
  • Phone: 801-781-0959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: THERESA L MATHIS
Title or Position: OWNER
Credential: LCSW
Phone: 801-781-0959