Healthcare Provider Details

I. General information

NPI: 1891288395
Provider Name (Legal Business Name): ANA KAREN RODRIGUEZ RAMIREZ ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2578 W 600 N STE 102
LINDON UT
84042-1260
US

IV. Provider business mailing address

2578 W 600 N STE 102
LINDON UT
84042-1260
US

V. Phone/Fax

Practice location:
  • Phone: 385-220-0770
  • Fax:
Mailing address:
  • Phone: 385-220-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number141871199-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: