Healthcare Provider Details

I. General information

NPI: 1912281585
Provider Name (Legal Business Name): AMY ENGLE BROTHERSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2011
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 E 700 S STE 205
ST GEORGE UT
84770-5732
US

IV. Provider business mailing address

720 S RIVER RD STE B105
ST GEORGE UT
84790-5704
US

V. Phone/Fax

Practice location:
  • Phone: 435-669-7109
  • Fax: 435-359-4150
Mailing address:
  • Phone: 435-278-8227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7331860-3501
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: