Healthcare Provider Details

I. General information

NPI: 1497665285
Provider Name (Legal Business Name): COLIBERATION COLLECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4122 S 465 E APT 54
MILLCREEK UT
84107-1826
US

IV. Provider business mailing address

4122 S 465 E APT 54
MILLCREEK UT
84107-1826
US

V. Phone/Fax

Practice location:
  • Phone: 801-783-0741
  • Fax:
Mailing address:
  • Phone: 801-783-0741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BREEANN MARIE GALVIN
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 801-783-0741