Healthcare Provider Details
I. General information
NPI: 1962348607
Provider Name (Legal Business Name): ARISE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4141 S HIGHLAND DR STE 202
HOLLADAY UT
84124-2646
US
IV. Provider business mailing address
12453 S MAYAN ST
RIVERTON UT
84096-2478
US
V. Phone/Fax
- Phone: 801-513-9574
- Fax:
- Phone: 801-513-9574
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOSEPH
BINGHAM
VAN ZANT
Title or Position: OWNER
Credential: LCSW
Phone: 801-513-9574