Healthcare Provider Details

I. General information

NPI: 1114360724
Provider Name (Legal Business Name): HEATHER ANNA RINDLISBACHER CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 E 900 N
OREM UT
84057-3311
US

IV. Provider business mailing address

395 E 900 N STE 2
OREM UT
84057-3311
US

V. Phone/Fax

Practice location:
  • Phone: 801-636-5617
  • Fax:
Mailing address:
  • Phone: 801-636-5617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11742017-6004
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: