Healthcare Provider Details

I. General information

NPI: 1942144894
Provider Name (Legal Business Name): ELOWEN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 E EXECUTIVE PARK DR STE B
MURRAY UT
84117-3545
US

IV. Provider business mailing address

560 BRENTWOOD CIR
BOUNTIFUL UT
84010-4926
US

V. Phone/Fax

Practice location:
  • Phone: 801-923-3497
  • Fax:
Mailing address:
  • Phone:
  • 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: KAITLIN LONGFELLOW
Title or Position: OWNER/THERAPIST
Credential: CMHC
Phone: 801-923-3497