Healthcare Provider Details

I. General information

NPI: 1962139501
Provider Name (Legal Business Name): ASPIRE PSYCHOLOGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12427 S PASTURE RD STE 201
RIVERTON UT
84096-5608
US

IV. Provider business mailing address

12427 S PASTURE RD STE 100
RIVERTON UT
84096-5608
US

V. Phone/Fax

Practice location:
  • Phone: 385-202-6113
  • Fax:
Mailing address:
  • Phone: 385-202-6113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CINDY CHIA
Title or Position: OWNER
Credential: CMHC
Phone: 385-202-6113