Healthcare Provider Details
I. General information
NPI: 1942115928
Provider Name (Legal Business Name): CONSULTING OUTSIDE OF THE BOX A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1620 N 200 E APT 210
NORTH LOGAN UT
84341-3077
US
IV. Provider business mailing address
PO BOX 562
LOGAN UT
84323-0562
US
V. Phone/Fax
- Phone: 385-247-1212
- Fax: 385-466-4680
- Phone: 385-247-1212
- Fax: 385-446-4680
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROY
E
HOGAN
Title or Position: PRESIDENT & DIRECTOR
Credential: LCSW
Phone: 385-247-1212