MEDICARE: THE AWARENESS AND RECOVERY CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	7095872-3501	UT

General Provider Information

NPI Number	:	1558869255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE AWARENESS AND RECOVERY CENTER LLC

Provider Business Mailing Address
First Line	:	406 E 300 S
Second Line	:	127
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111
Country	:	US
Telephone Number	:	385-232-6482
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 E 4500 S
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84117-4228
Country	:	US
Telephone Number	:	385-232-6482
Fax Number	:	385-232-6482

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MR. CHRISTOPHER DEWEY CAVIN
Credential	:	LCSW
Telephone Number	:	385-232-6482

Provider Enumeration Date	:	01/28/2018
Last Update Date	:	01/09/2026

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