Healthcare Provider Details

I. General information

NPI: 1609727320
Provider Name (Legal Business Name): AIDAN ROBINSON THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2026
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N MAIN ST STE 101
CEDAR CITY UT
84721-6158
US

IV. Provider business mailing address

415 N MAIN ST STE 101
CEDAR CITY UT
84721-6158
US

V. Phone/Fax

Practice location:
  • Phone: 435-233-7455
  • Fax:
Mailing address:
  • Phone: 435-233-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AIDAN ELAZAR ROBINSON
Title or Position: CLINICAL DIRECTOR
Credential: CMHC
Phone: 435-233-7455