Healthcare Provider Details

I. General information

NPI: 1790264679
Provider Name (Legal Business Name): MCKENNA RITTMANIC CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MCKENNA COLLEEN RITTMANIC CMHC

II. Dates (important events)

Enumeration Date: 08/10/2018
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1471 N 1200 W
OREM UT
84057-2449
US

IV. Provider business mailing address

1433 N 1200 W
OREM UT
84057-2449
US

V. Phone/Fax

Practice location:
  • Phone: 801-655-5450
  • Fax: 385-225-9327
Mailing address:
  • Phone: 801-655-5450
  • Fax: 385-225-9327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13074300-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: