Healthcare Provider Details

I. General information

NPI: 1396627386
Provider Name (Legal Business Name): NORTHLIGHT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

746 E 1910 S STE 4
PROVO UT
84606-6244
US

IV. Provider business mailing address

746 E 1910 S STE 4
PROVO UT
84606-6244
US

V. Phone/Fax

Practice location:
  • Phone: 385-582-9559
  • Fax:
Mailing address:
  • Phone: 385-582-9559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CALIE MAY ADAMS
Title or Position: LCSW
Credential: LCSW
Phone: 385-582-9559