| Organization Name: | BWL ENTERPRISE |
| NPI Number: | 1356588834 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA ANN LUKER (PRESIDENT) |
| Mailing Address: | 925 Executive Park Dr Suite E Holladay |
| State: | UT US |
| Postal Code: | 841173581 |
| Phone Number: | 8013295872 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2009 |
| NPI Last Update Date: | 01/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3492833501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |