Provider Demographics
NPI:1114337300
Name:GROWTH CLIMATE RELATIONSHIP EDUCATION CENTER, INC.
Entity Type:Organization
Organization Name:GROWTH CLIMATE RELATIONSHIP EDUCATION CENTER, INC.
Other - Org Name:GROWTH CLIMATE RELATIONSHIP EDUCATION & COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREATMENT PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PATEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-623-3211
Mailing Address - Street 1:165 NORTH 1330 WEST
Mailing Address - Street 2:SUITE NO. A-1
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-4154
Mailing Address - Country:US
Mailing Address - Phone:801-691-1153
Mailing Address - Fax:801-691-0421
Practice Address - Street 1:165 NORTH 1330 WEST
Practice Address - Street 2:SUITE NO A-1
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-4154
Practice Address - Country:US
Practice Address - Phone:801-691-1153
Practice Address - Fax:801-691-0421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6293883-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty