Healthcare Provider Details

I. General information

NPI: 1962361337
Provider Name (Legal Business Name): RIAN ALEXANDRA BOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6771 S 900 E
MIDVALE UT
84047-1436
US

IV. Provider business mailing address

1105 E 6720 S APT 34
COTTONWOOD HEIGHTS UT
84121-7229
US

V. Phone/Fax

Practice location:
  • Phone: 801-386-0799
  • Fax:
Mailing address:
  • Phone: 801-386-9799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number14245723-6006
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: