MEDICARE: HALLIE J YURICK CMHC

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	7376688-6004	UT

General Provider Information

NPI Number	:	1720399876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLIE J YURICK CMHC

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	09/13/2025

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