Healthcare Provider Details

I. General information

NPI: 1952997082
Provider Name (Legal Business Name): WHITNEY HENDERSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2020
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13894 S BANGERTER PKWY STE 202
DRAPER UT
84020-5316
US

IV. Provider business mailing address

6929 W GRANBURY DR
SOUTH JORDAN UT
84009-1812
US

V. Phone/Fax

Practice location:
  • Phone: 801-251-6839
  • Fax:
Mailing address:
  • Phone: 801-251-6839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number14230864-3902
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166.001739
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: