Healthcare Provider Details

I. General information

NPI: 1588501647
Provider Name (Legal Business Name): FAMILY ADVOCACY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5295 S COMMERCE DR STE 525
MURRAY UT
84107-4722
US

IV. Provider business mailing address

5295 S COMMERCE DR STE 525
MURRAY UT
84107-4722
US

V. Phone/Fax

Practice location:
  • Phone: 385-507-3220
  • Fax:
Mailing address:
  • Phone: 385-507-3220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AKYRA WOODBECK
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 385-507-3220