Provider Demographics
NPI:1144082280
Name:VALIANT ENDEAVORS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:VALIANT ENDEAVORS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:G
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:435-823-2367
Mailing Address - Street 1:255 SOUTH STATE STREET OFFICE 8
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:UT
Mailing Address - Zip Code:84066-2983
Mailing Address - Country:US
Mailing Address - Phone:435-823-2367
Mailing Address - Fax:
Practice Address - Street 1:255 SOUTH STATE STREET OFFICE 8
Practice Address - Street 2:
Practice Address - City:ROOSEVELT
Practice Address - State:UT
Practice Address - Zip Code:84066-2983
Practice Address - Country:US
Practice Address - Phone:435-823-2367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty