Provider Demographics
NPI:1932620135
Name:BRITTANY CASE CLINICAL COUNSELING PC
Entity Type:Organization
Organization Name:BRITTANY CASE CLINICAL COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CMHC
Authorized Official - Phone:435-657-5050
Mailing Address - Street 1:2545 S DANIELS RD
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-4065
Mailing Address - Country:US
Mailing Address - Phone:435-657-5050
Mailing Address - Fax:
Practice Address - Street 1:875 S 600 W STE 206
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-2257
Practice Address - Country:US
Practice Address - Phone:435-657-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8152466-6004251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health