Bridges Forensic Counseling Services LLC
Organization Active NPI Clinical Social Worker · Clearfield, UT
NPI 1013218593 · NPPES record last updated Dec 1, 2010
Key facts
- NPI
- 1013218593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 17035 (UT)
- Legal business name
- BRIDGES FORENSIC COUNSELING SERVICES LLC
- Practice address
- 189 S State St
Suite 180
Clearfield, UT 84015-1061 - Phone
- (801) 217-3523
- Fax
- (801) 217-3723
- NPI assigned
- Nov 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Lee L Perry, LCSW
- Title
- Clinical Director
- Phone
- (801) 217-3523
National Provider Directory
Locations
189 S State St
Ste 180
Clearfield, UT 84015
Phone (801) 217-3523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 17035 | UT | Yes |
Addresses
Primary practice location
189 S State St
Suite 180
Clearfield, UT 84015-1061
Mailing address
189 S State St
Suite 180
Clearfield, UT 84015-1061
Phone (801) 217-3523
Other providers in Clearfield, UT
- Kimberly A Brady
- Liena M Brady
- Brandon Brechbill
- Danelle Davila Brewer
- Brian a. Melcher, LCSW, PLLC
- Casherie Dawn Bright
- Jeffrey C Bright
- Kristen Brimley
- Grant Atwood Brough
- Jeremy Brown
All providers in Clearfield, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.