Healthcare Provider Details

I. General information

NPI: 1710677604
Provider Name (Legal Business Name): LAUREN ELIZABETH HIRSCHI CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N 500 E STE 120
NORTH SALT LAKE UT
84054-1949
US

IV. Provider business mailing address

675 S 500 E APT A
SALT LAKE CITY UT
84102-3490
US

V. Phone/Fax

Practice location:
  • Phone: 801-872-3234
  • Fax:
Mailing address:
  • Phone: 801-831-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13980575-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: