Provider Demographics
NPI:1982898094
Name:CENTER FOR COUPLES & FAMILIES
Entity type:Organization
Organization Name:CENTER FOR COUPLES & FAMILIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAXMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-688-1111
Mailing Address - Street 1:1173 SO 250 WEST
Mailing Address - Street 2:BLDG 1- SUITE 208
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770
Mailing Address - Country:US
Mailing Address - Phone:435-688-1111
Mailing Address - Fax:435-688-8488
Practice Address - Street 1:1173 SO 250 WEST
Practice Address - Street 2:BLDG 1- SUITE 208
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-8477
Practice Address - Country:US
Practice Address - Phone:435-688-1111
Practice Address - Fax:435-688-8488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
UT3402193902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty