IndividualActive
Brandon Phelps
NPI 1841973336 · Clinical Social Worker · Centerville, UT
Provider details
- NPI number
- 1841973336
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4802626-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
190 S Main St Ste B
Centerville, UT 84014-2839
Phone: (801) 614-8400
Approximate (ZIP-level) locationGet directions
Mailing address
190 S Main St Ste B
Centerville, UT 84014-2839
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.