MEDICARE: COTTONWOOD MOVEMENT THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1386486736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COTTONWOOD MOVEMENT THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 712372
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84171-2372
Country	:	US
Telephone Number	:	801-610-6801
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 E EXECUTIVE PARK DR STE B
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84117-3545
Country	:	US
Telephone Number	:	801-610-6801
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL MENTAL HEALTH COUNSELOR
Name	:	HALLIE YURICK
Credential	:	CMHC
Telephone Number	:	801-610-6801

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	06/07/2024

Similar Medicare Providers

1942144894 — ELOWEN COUNSELING PLLC
Practice Location Address:

925 E EXECUTIVE PARK DR STE B
MURRAY, UT
84117-3545

Practice Phone: 801-923-3497
Practice Fax:

1720399876 — HALLIE J YURICK CMHC
Practice Location Address:

925 E EXECUTIVE PARK DR STE B
MURRAY, UT
84117-3545

Practice Phone: 801-610-6801
Practice Fax:

1871053553 — LAUREL MALLONEE
Practice Location Address:

925 E EXECUTIVE PARK DR STE B
MURRAY, UT
84117-3545

Practice Phone: 801-590-9277
Practice Fax:

1215891387 — WELL BEING GROUP BY LILLIAN LARSON LCSW PC
Practice Location Address:

925 E EXECUTIVE PARK DR STE B
MURRAY, UT
84117-3545

Practice Phone: 512-273-7215
Practice Fax:

1821574716 — SARAH HOPKINS SAMORE LCSW
Practice Location Address:

925 E EXECUTIVE PARK DR STE B
SALT LAKE CITY, UT
84117-3545

Practice Phone: 801-590-9277
Practice Fax:

1831042621 — CORINNE N DIX
Practice Location Address:

5005 S 900 E STE 100
MURRAY, UT
84117-5789

Practice Phone: 801-449-0370
Practice Fax:

Directions to “COTTONWOOD MOVEMENT THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.