Healthcare Provider Details

I. General information

NPI: 1891986899
Provider Name (Legal Business Name): SCOTT CECIL CMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
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

PO BOX 1045
PAROWAN UT
84761-1045
US

V. Phone/Fax

Practice location:
  • Phone: 435-590-3939
  • Fax:
Mailing address:
  • Phone: 435-590-3939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.70018425
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number319731-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: