Healthcare Provider Details

I. General information

NPI: 1255424610
Provider Name (Legal Business Name): DANA ROBISON EMMONS MA, LMFT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANA WALLACE ROBISON

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11038 HIGHLAND BLVD
HIGHLAND UT
84003-3785
US

IV. Provider business mailing address

11038 HIGHLAND BLVD
HIGHLAND UT
84003-3785
US

V. Phone/Fax

Practice location:
  • Phone: 801-655-5450
  • Fax:
Mailing address:
  • Phone: 801-655-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number985
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number668
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number10143380-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: