MEDICARE: YENNHI HOANG

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	101YM0800X	Mental Health Counselor		UT
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1821627670	OTHER		INSURANCE

General Provider Information

NPI Number	:	1821627670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENNHI HOANG

Provider Business Mailing Address
First Line	:	6770 S 900 E STE 201
Second Line	:
City	:	MIDVALE
State	:	UT
Zip	:	84047-5548
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6770 S 900 E STE 201
Second Line	:
City	:	MIDVALE
State	:	UT
Zip	:	84047-5548
Country	:	US
Telephone Number	:	801-305-3171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2020
Last Update Date	:	02/07/2023

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Directions to “ YENNHI HOANG ” Practice Location

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