Provider Demographics
NPI:1881456234
Name:POWER WITHIN COUNSELING
Entity type:Organization
Organization Name:POWER WITHIN COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SCHRIMPL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-239-3517
Mailing Address - Street 1:3325 N UNIVERSITY AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-6617
Mailing Address - Country:US
Mailing Address - Phone:435-239-3517
Mailing Address - Fax:
Practice Address - Street 1:114 E HONERINE ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:UT
Practice Address - Zip Code:84071-7733
Practice Address - Country:US
Practice Address - Phone:630-803-3286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty