Healthcare Provider Details

I. General information

NPI: 1568391654
Provider Name (Legal Business Name): GEOFFREY OLSEN, CMHC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4885 S 900 E STE 307
MURRAY UT
84117-3900
US

IV. Provider business mailing address

1518 E FIELDCREST LN
HOLLADAY UT
84117-5817
US

V. Phone/Fax

Practice location:
  • Phone: 801-301-3541
  • Fax:
Mailing address:
  • Phone: 801-301-3541
  • 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: GEOFFREY OLSEN
Title or Position: THERAPIST
Credential: CMHC
Phone: 801-301-3541