Healthcare Provider Details

I. General information

NPI: 1437638426
Provider Name (Legal Business Name): KATE ALLISON ALSTON CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5784 S 900 E OFC 13
MURRAY UT
84121-1689
US

IV. Provider business mailing address

5784 S 900 E OFC 13
MURRAY UT
84121-1689
US

V. Phone/Fax

Practice location:
  • Phone: 385-529-6218
  • Fax: 801-880-6144
Mailing address:
  • Phone: 385-529-6218
  • Fax: 801-880-6144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11144789-6009
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11144789-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: