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General NPI Number Information
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NPI Number | 1831830769
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Entity Type | Organization
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Legal Business Name | BRIDGEHOPE FAMILY THERAPY, LLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 1384 W STATE RD STE 22
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-4133
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Country | US
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Telephone | 801-477-6823
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Fax |
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Provider Business Mailing Address
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Address Line | 1384 W STATE RD STE 22
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-4133
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Country | US
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Telephone | 801-477-6823
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRADFORD STUCKI
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Credential | LMFT
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Telephone | 540-235-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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