Healthcare Provider Details

I. General information

NPI: 1942583034
Provider Name (Legal Business Name): VANTAGE POINT COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2011
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5802 S 900 E # 12
MURRAY UT
84121-1644
US

IV. Provider business mailing address

5802 S 900 E # 12
MURRAY UT
84121-1644
US

V. Phone/Fax

Practice location:
  • Phone: 385-515-5445
  • Fax: 385-388-1017
Mailing address:
  • Phone: 385-515-5445
  • Fax: 385-388-1017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60058539
License Number StateWA

VIII. Authorized Official

Name: AMBER BAUERLE
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 385-515-5445