| Therapycorp LLC | |
|
60 W Canyon Crest Rd Ste 101 Alpine UT 84004-2062 | |
| (385) 224-5128 | |
| Not Available |
| Full Name | Therapycorp LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 60 W Canyon Crest Rd Ste 101, Alpine, Utah |
| Authorized Official Name and Position | Michael Brannon Patrick (OWNER) |
| Authorized Official Contact | 3852245128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapycorp LLC 60 W Canyon Crest Rd Ste 101 Alpine UT 84004-2062 Ph: (385) 224-5128 | Therapycorp LLC 60 W Canyon Crest Rd Ste 101 Alpine UT 84004-2062 Ph: (385) 224-5128 |
| NPI Number | 1235002494 |
|---|---|
| Provider Enumeration Date | 09/24/2025 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235002494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (NU) | Secondary |
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