Healthcare Provider Details

I. General information

NPI: 1972319465
Provider Name (Legal Business Name): VALLEY INSIGHT THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 E 800 N
OREM UT
84097-4146
US

IV. Provider business mailing address

83 N CANYON MAPLE RD
VINEYARD UT
84059-5722
US

V. Phone/Fax

Practice location:
  • Phone: 801-368-8125
  • Fax:
Mailing address:
  • Phone: 801-368-8125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JASON CLAWSON
Title or Position: OWNER/ THERAPIST
Credential: CMHC
Phone: 801-368-8125