Healthcare Provider Details

I. General information

NPI: 1043829401
Provider Name (Legal Business Name): BRITTANY KAY BITTERS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 E 5900 S STE A106
MURRAY UT
84107-7268
US

IV. Provider business mailing address

9573 S ECHO RIDGE DR
WEST JORDAN UT
84081-4206
US

V. Phone/Fax

Practice location:
  • Phone: 385-218-0931
  • Fax:
Mailing address:
  • Phone: 385-218-0931
  • Fax: 801-336-4106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10841016-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: