MEDICARE: BRITTANY CASE CLINICAL COUNSELING PC

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	251S00000X	Community/Behavioral Health Agency	8152466-6004	UT

General Provider Information

NPI Number	:	1932620135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRITTANY CASE CLINICAL COUNSELING PC

Provider Business Mailing Address
First Line	:	2545 S DANIELS RD
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-4065
Country	:	US
Telephone Number	:	435-657-5050
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 S 600 W STE 206
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-2257
Country	:	US
Telephone Number	:	435-657-5050
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRITTANY KAY CASE
Credential	:	MS, CMHC
Telephone Number	:	435-657-5050

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	06/11/2019

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