Healthcare Provider Details

I. General information

NPI: 1063343580
Provider Name (Legal Business Name): THE CENTER FOR COUPLES AND FAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1426 E 820 N
OREM UT
84097-5481
US

IV. Provider business mailing address

276 N 460 W
SALEM UT
84653-9397
US

V. Phone/Fax

Practice location:
  • Phone: 801-477-0041
  • Fax:
Mailing address:
  • Phone: 801-960-7487
  • 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: BRENDAN EWELL
Title or Position: CLINICAL MANAGER, THERAPIST
Credential: MA, MHR, LMFT
Phone: 801-616-2166