Healthcare Provider Details

I. General information

NPI: 1699988022
Provider Name (Legal Business Name): ROCKY MOUNTAIN BEHAVIORAL CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 N STATE ST STE 3
SALINA UT
84654-1363
US

IV. Provider business mailing address

PO BOX 771
RICHFIELD UT
84701-0771
US

V. Phone/Fax

Practice location:
  • Phone: 435-979-5218
  • Fax: 435-529-3873
Mailing address:
  • Phone: 435-979-5218
  • Fax: 435-529-3873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. BRANDON MICHAEL BURR
Title or Position: PRESIDENT
Credential: LCSW
Phone: 435-979-5218