Healthcare Provider Details

I. General information

NPI: 1174352918
Provider Name (Legal Business Name): CURTIS DOWNING ACMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5965 S 900 E STE 100
MURRAY UT
84121-1850
US

IV. Provider business mailing address

667 N 550 E
AMERICAN FORK UT
84003-1355
US

V. Phone/Fax

Practice location:
  • Phone: 801-872-5516
  • Fax:
Mailing address:
  • Phone: 801-755-3786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number323126-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: