Healthcare Provider Details

I. General information

NPI: 1457750499
Provider Name (Legal Business Name): TAYLOR NIELSEN CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 E MAIN ST
LEHI UT
84043-2241
US

IV. Provider business mailing address

680 E MAIN ST
LEHI UT
84043-2241
US

V. Phone/Fax

Practice location:
  • Phone: 801-768-1699
  • Fax: 801-768-4526
Mailing address:
  • Phone: 801-768-1699
  • Fax: 801-768-4526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12292639-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: