Healthcare Provider Details

I. General information

NPI: 1518409382
Provider Name (Legal Business Name): SOMER R BROWN LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2016
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 S VALLEY GROVE WAY STE 200
PLEASANT GROVE UT
84062-6770
US

IV. Provider business mailing address

1333 S VALLEY GROVE WAY STE 200
PLEASANT GROVE UT
84062-6770
US

V. Phone/Fax

Practice location:
  • Phone: 801-849-3148
  • Fax:
Mailing address:
  • Phone: 801-849-3148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9727086-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: