Provider Demographics
NPI:1801900261
Name:UTAH GROUPS, LC
Entity type:Organization
Organization Name:UTAH GROUPS, LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-266-7435
Mailing Address - Street 1:3320 OLD MILLBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-4974
Mailing Address - Country:US
Mailing Address - Phone:801-266-7435
Mailing Address - Fax:801-266-7436
Practice Address - Street 1:3320 OLD MILLBROOK CIR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-4974
Practice Address - Country:US
Practice Address - Phone:801-266-7435
Practice Address - Fax:801-266-7436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT114342-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT52874324505001OtherBCBS