Healthcare Provider Details

I. General information

NPI: 1386548501
Provider Name (Legal Business Name): ASHLEY NOELLE PAYNTER ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 N SPRING CREEK PKWY
PROVIDENCE UT
84332-9775
US

IV. Provider business mailing address

517 W 100 N STE 202
PROVIDENCE UT
84332-9824
US

V. Phone/Fax

Practice location:
  • Phone: 435-753-0253
  • Fax:
Mailing address:
  • Phone: 435-554-8077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14223157-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: