GARRY RICHARD HOLBROOK SR. (NPI# 1013165802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013165802 |
| Entity Type | Individual |
| Full Name | GARRY RICHARD HOLBROOK SR. |
| Credential | LCSW |
| Practice Address |
609 North Main #3 Panguitch UT 84759 |
| Mailing Address |
Po Box 63 Panguitch UT 84759-0063 |
| Practice Telephone | 4356763020 |
| Practice Fax Number | 4356768832 |
| Mailing Telephone | 4356763020 |
| Mailing Fax Number | 4356768832 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
UT | Behavioral Health & Social Service Providers |
| Street Address |
609 NORTH MAIN #3 |
| City | PANGUITCH |
| State | UT |
| Zip Code | 84759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972803641 | Deborah Coles | Technician, Other | 609 North Main, Suite 4, Panguitch, UT 84759 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467999524 | Garfield County | Nursing Facility/Intermediate Care Facility | 200 N 450 E, Panguitch, UT 84759 | 2017-01-27 |
| 1598200297 | Garfield County | Clinic/Center | 200 N 400 E St, Panguitch, UT 84759 | 2017-01-04 |
| 1942637749 | Yardley Insurance Agency Inc | Supports Brokerage | 609 North Main Street, #1, Panguitch, UT 84759 | 2013-10-11 |
| 1750639654 | Bryant Pearson | Social Worker | 400 East 200 North, Panguitch, UT 84759 | 2012-08-27 |
| 1265731574 | Devin Jacob Albrecht | Physical Therapist | 115 N Main Suite B, Panguitch, UT 84759 | 2011-03-25 |
| 1679874580 | Theron A Draper | Social Worker | 3600 N 455 W, Panguitch, UT 84759 | 2010-11-09 |
| 1194992982 | Sherrie Burningham | Case Manager/Care Coordinator | 609 N. Main Street, Ste #6, Panguitch, UT 84759 | 2008-05-12 |
| 1548459068 | Shane R Jensen | Optometrist | 415 East Center Street, Panguitch, UT 84759 | 2007-10-22 |
| 1558558627 | Robert L Smith Dc PC | Clinic/Center | 55 E Center St, Panguitch, UT 84759 | 2007-10-02 |
| 1104018308 | Carl Van Gils, Dpm, PC | Podiatrist | 25 N 300 West, Panguitch, UT 84759 | 2007-08-13 |
| Find all providers in zip 84759 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609120120 | Eric C Fawson | Counselor | 103 East Blue Meadow Circle, Panguitch, UT 84759-1042 | 2012-11-06 |
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|---|---|---|---|---|
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| 1184239337 | Dara Larsen | Counselor | 923 S River Rd Ste 204, Saint George, UT 84790-2288 | 2020-09-14 |
| 1851905939 | Brenda Somers | Counselor | 564 Cross St, Ogden, UT 84404-5071 | 2020-09-04 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1932710837 | Amanda Kathleen Blume | Counselor | 84 W 4800 S Ste 100, Murray, UT 84107-3781 | 2020-08-13 |
| 1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.