MEDICARE: HUGH BATES, LCSW PRIVATE THERAPY PRACTICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	101YP1600X	Pastoral Counselor
4	103TB0200X	Cognitive & Behavioral Psychologist
5	104100000X	Social Worker
6	1041C0700X	Clinical Social Worker
7	101Y00000X	Counselor

General Provider Information

NPI Number	:	1215140736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUGH BATES, LCSW PRIVATE THERAPY PRACTICE LLC

Provider Business Mailing Address
First Line	:	740 SOUTH 300 WEST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84101
Country	:	US
Telephone Number	:	801-638-2202
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 S 300 W
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84101-2603
Country	:	US
Telephone Number	:	801-638-2202
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HUGH BATES
Credential	:	LCSW
Telephone Number	:	801-638-2202

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	09/11/2025

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