Coliberation Collective PLLC

Organization Active NPI Clinical Social Worker · Millcreek, UT

NPI 1497665285 · NPPES record last updated Sep 11, 2026

Key facts

NPI
1497665285
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
COLIBERATION COLLECTIVE PLLC
Practice address
4122 S 465 E Apt 54
Millcreek, UT 84107-1826
Phone
(801) 783-0741
NPI assigned
Sep 11, 2026
Organization subpart
No

Authorized official

Name
Breeann Marie Galvin, LCSW
Title
Licensed Clinical Social Worker
Phone
(801) 783-0741

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

4122 S 465 E Apt 54
Millcreek, UT 84107-1826

Mailing address

4122 S 465 E Apt 54
Millcreek, UT 84107-1826
Phone (801) 783-0741

Other providers in Millcreek, UT

All providers in Millcreek, 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 Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.