Healthcare Provider Details

I. General information

NPI: 1508798265
Provider Name (Legal Business Name): INFINITE HORIZONS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MATTERHORN DR
PARK CITY UT
84098-5238
US

IV. Provider business mailing address

601 MATTERHORN DR
PARK CITY UT
84098-5238
US

V. Phone/Fax

Practice location:
  • Phone: 970-708-7781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ROWLIN BUSCH
Title or Position: OWNER
Credential:
Phone: 970-708-7781