Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVY MARE PHOENIX, CMHC
Active Sole ProprietorIVY MARE PHOENIX, CMHC is a Mental Health Counselor healthcare provider located in WEST VALLEY CITY, Utah. NPI 1225668668 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WEST VALLEY CITY, UT
Registration Details
- NPI Number
- 1225668668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2020 (6.5334468611502 yrs)
- Last Updated
- Aug 31, 2024
- License
-
11772649-6004 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2965 W 3500 SWEST VALLEY CITY, UT, 841193602Browse UT providers · Browse ZIP 84119
- Phone
- 8019653608
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in WEST VALLEY CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MS. LYN WILSON | LPC | 1710967161 |
| MRS. KORINA MAGDALENA JAGIELLO-CALDWELL | CPCI | 1891754628 |
| MICHELLE MOYES | LPC | 1639492036 |
| MS. LANETTE ROSE BEST | CMHC | 1508117458 |
| MRS. AMANDA VAN AUSDAL | — | 1700123635 |
| SAMANTHA LIN PRANGER | CSW | 1467856211 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.