Healthcare Provider Details

I. General information

NPI: 1023962198
Provider Name (Legal Business Name): RISE & THRIVE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3688 E CAMPUS DR STE 240
EAGLE MOUNTAIN UT
84005-4669
US

IV. Provider business mailing address

1442 E WHEATLAND DR
EAGLE MOUNTAIN UT
84005-4778
US

V. Phone/Fax

Practice location:
  • Phone: 385-270-2994
  • Fax:
Mailing address:
  • Phone: 385-270-2994
  • 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: LUCINDA WATKINS
Title or Position: OWNER
Credential: CMHC, NCC
Phone: 928-853-3771