Organization Name: | GOOD FRIENDS COUNSELING |
NPI Number: | 1023414687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN LEROY TAYLOR (PRESIDENT) |
Mailing Address: | 1450 E 820 N Orem |
State: | UT US |
Postal Code: | 840975481 |
Phone Number: | 8013776685 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 261856-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |