Healthcare Provider Details

I. General information

NPI: 1336019371
Provider Name (Legal Business Name): JOZET MILLER HULLEY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2299 ROCK CANYON CIR
PROVO UT
84604-6087
US

IV. Provider business mailing address

2299 ROCK CANYON CIR
PROVO UT
84604-6087
US

V. Phone/Fax

Practice location:
  • Phone: 208-522-2975
  • Fax:
Mailing address:
  • Phone: 208-522-2975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number13737668-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: