Healthcare Provider Details

I. General information

NPI: 1174412803
Provider Name (Legal Business Name): RACHEL BIRO CMHC / NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S VALLEY GROVE WAY STE 160
PLEASANT GROVE UT
84062-6758
US

IV. Provider business mailing address

1221 S VALLEY GROVE WAY STE 160
PLEASANT GROVE UT
84062-6758
US

V. Phone/Fax

Practice location:
  • Phone: 801-477-7189
  • Fax: 888-745-9274
Mailing address:
  • Phone: 801-477-7189
  • Fax: 888-746-9274

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:
Title or Position:
Credential:
Phone: