Healthcare Provider Details

I. General information

NPI: 1578368668
Provider Name (Legal Business Name): RORY HILEMAN CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARLIE ANNE HILEMAN

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 09/02/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 W 1400 N
OREM UT
84057
US

IV. Provider business mailing address

104 E ZEN RD
VINEYARD UT
84059-5696
US

V. Phone/Fax

Practice location:
  • Phone: 385-483-4757
  • Fax:
Mailing address:
  • Phone: 409-383-8697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13417424-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: