Healthcare Provider Details

I. General information

NPI: 1295661056
Provider Name (Legal Business Name): REFORGE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

6975 S UNION PARK CTR STE 614
MIDVALE UT
84047-6501
US

IV. Provider business mailing address

PO BOX 26
CENTERVILLE UT
84014-0026
US

V. Phone/Fax

Practice location:
  • Phone: 385-276-2256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN OWNSBEY
Title or Position: OWNER
Credential:
Phone: 801-550-8657