Healthcare Provider Details
I. General information
NPI: 1831964949
Provider Name (Legal Business Name): VALLEY VIEW COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/17/2023
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
194 E 860 S
OREM UT
84058-5012
US
IV. Provider business mailing address
2185 E 900 N
SPANISH FORK UT
84660-6208
US
V. Phone/Fax
- Phone: 385-448-0591
- Fax: 801-747-6858
- Phone: 385-392-3325
- Fax: 801-747-6858
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
REBECCA
MARTELL
Title or Position: MANAGER
Credential: LCSW
Phone: 385-448-0591