Healthcare Provider Details
I. General information
NPI: 1710893516
Provider Name (Legal Business Name): RACHEL HVEEM THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
274 N MAIN ST
LOGAN UT
84321-3915
US
IV. Provider business mailing address
274 N MAIN ST
LOGAN UT
84321-3915
US
V. Phone/Fax
- Phone: 435-213-9278
- Fax:
- Phone: 435-213-9278
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
A
HVEEM
Title or Position: OWNER
Credential: LCSW
Phone: 435-227-5510