Healthcare Provider Details

I. General information

NPI: 1548921612
Provider Name (Legal Business Name): CHRISTINE ANN HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13222 TREE SPARROW DR STE R210
RIVERTON UT
84096-2889
US

IV. Provider business mailing address

13222 TREE SPARROW DR STE R210
RIVERTON UT
84096-2889
US

V. Phone/Fax

Practice location:
  • Phone: 801-872-5516
  • Fax:
Mailing address:
  • Phone: 801-872-5516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6953921-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: