Provider Demographics
NPI:1679215347
Name:BRINGING PEACE COUNSELING PLLC
Entity Type:Organization
Organization Name:BRINGING PEACE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PACHECO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-628-1762
Mailing Address - Street 1:5748 S 2200 W
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-1502
Mailing Address - Country:US
Mailing Address - Phone:801-628-1762
Mailing Address - Fax:385-393-8181
Practice Address - Street 1:5974 FASHION POINT DR STE 240
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4810
Practice Address - Country:US
Practice Address - Phone:801-628-1762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)