Healthcare Provider Details

I. General information

NPI: 1942880075
Provider Name (Legal Business Name): WILLOW SHORE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 N 500 W STE 201
LEHI UT
84043-1107
US

IV. Provider business mailing address

1220 N 500 W STE 201
LEHI UT
84043-1107
US

V. Phone/Fax

Practice location:
  • Phone: 385-519-4585
  • Fax:
Mailing address:
  • Phone: 801-382-8676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AISLINN BURKE
Title or Position: OWNER
Credential: LMFT
Phone: 801-404-3225