Healthcare Provider Details

I. General information

NPI: 1093460230
Provider Name (Legal Business Name): COURTNEY HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 S HIGHLAND DR STE 202
COTTONWOOD HEIGHTS UT
84121-7321
US

IV. Provider business mailing address

7491 S CLARET ST
COTTONWOOD HEIGHTS UT
84121-4103
US

V. Phone/Fax

Practice location:
  • Phone: 346-298-4121
  • Fax:
Mailing address:
  • Phone: 727-385-0083
  • 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:
Title or Position:
Credential:
Phone: