Healthcare Provider Details

I. General information

NPI: 1811369978
Provider Name (Legal Business Name): MITCHELL EDWARD TOCHER CMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3699 W 6050 S
ROY UT
84067-1027
US

IV. Provider business mailing address

PO BOX 327
ROY UT
84067-0327
US

V. Phone/Fax

Practice location:
  • Phone: 801-209-6062
  • Fax:
Mailing address:
  • Phone: 801-209-6062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number314558-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: