Healthcare Provider Details

I. General information

NPI: 1356296180
Provider Name (Legal Business Name): REBECCA HAYLEY SYMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 E 400 S STE 370
SALT LAKE CITY UT
84111-2832
US

IV. Provider business mailing address

11620 S STATE ST STE 1403
DRAPER UT
84020-7124
US

V. Phone/Fax

Practice location:
  • Phone: 801-930-0787
  • Fax:
Mailing address:
  • Phone: 801-930-0787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: