Healthcare Provider Details

I. General information

NPI: 1861935538
Provider Name (Legal Business Name): BEATRIZ ANDREA GOMEZ FRANCO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2016
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 N 200 W
LOGAN UT
84341-2032
US

IV. Provider business mailing address

1525 N 200 W
LOGAN UT
84341-2032
US

V. Phone/Fax

Practice location:
  • Phone: 435-752-8880
  • Fax:
Mailing address:
  • Phone: 435-752-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13400661-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: