Healthcare Provider Details
I. General information
NPI: 1578951588
Provider Name (Legal Business Name): WORKING THROUGH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/26/2014
Last Update Date: 12/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4568 S HIGHLAND DR SUITE 100
SALT LAKE CITY UT
84117-4263
US
IV. Provider business mailing address
435 S 1200 E
SALT LAKE CITY UT
84102-3105
US
V. Phone/Fax
- Phone: 801-350-1305
- Fax:
- Phone: 801-350-1305
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | 8116469-2501 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | 8116469-2501 |
| License Number State | UT |
VIII. Authorized Official
Name: DR.
STEVEN
EDWARD
MCCOWIN
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 801-350-1305