Healthcare Provider Details

I. General information

NPI: 1235074642
Provider Name (Legal Business Name): ALPENGLOW COUNSELING AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 N WASHINGTON BLVD STE B
NORTH OGDEN UT
84414-2243
US

IV. Provider business mailing address

3381 N 675 E
NORTH OGDEN UT
84414-1692
US

V. Phone/Fax

Practice location:
  • Phone: 801-317-8524
  • Fax:
Mailing address:
  • Phone: 810-869-3874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. GINA NICOLE SHUSTER
Title or Position: OWNER AND CLINICAL DIRECTOR
Credential: LCSW, LMSW
Phone: 801-317-8524