Ctr Supports

LBN: Ctr Supports
Ctr Supports is an health care organization with primary practice located at 10182 S Campden Ct , South Jordan UT 84009-7109. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Cognitive & Behavioral is the primary health care specialty. Ctr Supports can be contacted via phone (801) 788-4988, or through Dickinson, Cobilynn R via phone (801) 450-3164.

Contact Information

Primary practice address
10182 S Campden Ct South Jordan UT 84009-7109
Phone: (801) 788-4988
Fax: (801) 206-3588
Website:
Map and Directions
Authorized official contact:
Name: Dickinson, Cobilynn R
Phone: (801) 450-3164

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1497254304
LBN Legal business name Ctr Supports
DBA Doing business as
Authorized official Dickinson, Cobilynn R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2018
Last updated Feb 6th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497254304 NPPES
Utah Other 325706-2501 LICENSE PSYCHOLOGIST
Utah MEDICAID 1658550246 LICENSE PSYCHOLOGIST
Utah Other 12195372 LICENSE PSYCHOLOGIST
Utah Other 325706-2506 LICENSE PSYCHOLOGIST

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