Healthcare Provider Details

I. General information

NPI: 1831453679
Provider Name (Legal Business Name): LAURA BREWER MORRIS MCHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 N 500 W C/O ROOTS AND BRACHES WELLNESS 35 N 500 W
LEHI UT
84043
US

IV. Provider business mailing address

3953 W OAK CREST DRIVE
LEHI UT
84043
US

V. Phone/Fax

Practice location:
  • Phone: 801-598-9164
  • Fax: 801-221-0291
Mailing address:
  • Phone: 801-221-0223
  • Fax: 801-221-0291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7507518-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: