Robert Banta, LCSW

NPI 1609000561 · on the registry since 2009 · sole proprietor

Practice

Address: 9160 S 300 W
Suite 22
Sandy, UT 84070
Phone: (801) 716-0440
Fax: (801) 208-1011
Organisation at this address: Renassaince Ranch Outpatient
Awakening Behavioral Health, Llc
Ranaissance Ranch Outpatient Treatment
Renaissance Ranch Pornography Addiction Treatment Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah