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BROOKSIDE WELLNESS CENTER PLLC
NPI 1164398392
Counselor - Mental Health in Saint George, UT

Active since October 14, 2025
4688 S WALLACE DR UNIT G, SAINT GEORGE, UT 84790(435) 429-1042 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookside Wellness Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKSIDE WELLNESS CENTER PLLC (NPI 1164398392) is a healthcare organization registered as a mental health in Saint George, Utah and active in the NPI registry since October 2025. The organization lists Colby Gannon Backman, Program Director, as its authorized official.

NPPES Registry Identity

NPI1164398392
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBROOKSIDE WELLNESS CENTER PLLC
Location Address4688 S WALLACE DR UNIT GSaint George, UT 84790-1863
Mailing Address4688 S Wallace Dr Unit GSaint George, UT 84790-1863 · (435) 429-1042
Phone(435) 429-1042
Organization SubpartNo
Authorized OfficialColby Gannon BackmanProgram Director · (435) 429-1042
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1164398392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedDrama TherapistTaxonomy 101200000X
Also ListedCounselorTaxonomy 101Y00000X
4688 S WALLACE DR UNIT G, Saint George, UT 84790
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookside Wellness Center PLLC's NPI number?

The NPI number for Brookside Wellness Center PLLC is 1164398392. It was assigned to this organization in the NPPES registry on October 14, 2025.

Where is Brookside Wellness Center PLLC located?

Brookside Wellness Center PLLC is located at 4688 S Wallace Dr Unit G, Saint George, UT 84790. The listed phone number is (435) 429-1042.

What is Brookside Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brookside Wellness Center PLLC was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.