Healthcare Provider Details

I. General information

NPI: 1114586765
Provider Name (Legal Business Name): ARIEL MOONEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 770 N
OREM UT
84097-4101
US

IV. Provider business mailing address

986 W 1260 N
OREM UT
84057-1804
US

V. Phone/Fax

Practice location:
  • Phone: 801-695-4451
  • Fax:
Mailing address:
  • Phone: 385-539-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13430775-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: