Healthcare Provider Details

I. General information

NPI: 1881456234
Provider Name (Legal Business Name): POWER WITHIN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E HONERINE ST
STOCKTON UT
84071-7733
US

IV. Provider business mailing address

3325 N UNIVERSITY AVE STE 250
PROVO UT
84604-6617
US

V. Phone/Fax

Practice location:
  • Phone: 630-803-3286
  • Fax:
Mailing address:
  • Phone: 435-239-3517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. CARLY ANNE SCHRIMPL
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 435-239-3517