Healthcare Provider Details

I. General information

NPI: 1386557999
Provider Name (Legal Business Name): LINDSAY CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

520 E 770 N
OREM UT
84097-4101
US

IV. Provider business mailing address

9171 S WEDGEFIELD DR
SANDY UT
84093-3834
US

V. Phone/Fax

Practice location:
  • Phone: 801-695-4451
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14306489-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: