Healthcare Provider Details

I. General information

NPI: 1871309666
Provider Name (Legal Business Name): BEST CHANCE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 N 100 E STE 350
PROVO UT
84604-4567
US

IV. Provider business mailing address

1455 S 30 E
PAYSON UT
84651-3021
US

V. Phone/Fax

Practice location:
  • Phone: 208-258-5460
  • Fax: 417-794-1186
Mailing address:
  • Phone: 208-258-5460
  • Fax: 417-794-1186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY LONG
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 208-258-5460