Provider Demographics
NPI:1912618315
Name:SCW COUNSELING LLC
Entity Type:Organization
Organization Name:SCW COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:SCHILD
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DBH, LCSW
Authorized Official - Phone:801-661-2794
Mailing Address - Street 1:3325 BOUNTIFUL BLVD
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-4465
Mailing Address - Country:US
Mailing Address - Phone:801-797-4874
Mailing Address - Fax:
Practice Address - Street 1:25 S MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-1846
Practice Address - Country:US
Practice Address - Phone:801-661-2794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)