Healthcare Provider Details

I. General information

NPI: 1679447940
Provider Name (Legal Business Name): HIGH WEST COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5784 S 900 E STE 8
MURRAY UT
84121-1689
US

IV. Provider business mailing address

372 I ST
SALT LAKE CITY UT
84103-3139
US

V. Phone/Fax

Practice location:
  • Phone: 385-707-5296
  • Fax:
Mailing address:
  • Phone: 385-707-5296
  • 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: KELSEY YOAKUM
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCSW
Phone: 385-707-5296