Healthcare Provider Details

I. General information

NPI: 1225995871
Provider Name (Legal Business Name): BRANDI S WORLE LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E 200 S STE 1A
LEHI UT
84043-1470
US

IV. Provider business mailing address

1123 N 1800 W
LEHI UT
84043-3066
US

V. Phone/Fax

Practice location:
  • Phone: 385-223-0777
  • Fax: 385-232-8079
Mailing address:
  • Phone: 801-362-4275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5615797-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: