Healthcare Provider Details

I. General information

NPI: 1457237174
Provider Name (Legal Business Name): AMBER KATHERINE BIELINSKI ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5411 S VINE ST # 6
MURRAY UT
84107-7746
US

IV. Provider business mailing address

7081 S OWLS LN
MIDVALE UT
84047-1541
US

V. Phone/Fax

Practice location:
  • Phone: 801-341-9364
  • Fax:
Mailing address:
  • Phone: 440-315-8678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14217015-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: