Healthcare Provider Details

I. General information

NPI: 1922945468
Provider Name (Legal Business Name): AURORA AUGULIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 E 2100 S STE B
SALT LAKE CITY UT
84106-3026
US

IV. Provider business mailing address

358 N 100 W
PROVO UT
84601-2804
US

V. Phone/Fax

Practice location:
  • Phone: 801-487-7778
  • Fax:
Mailing address:
  • Phone: 812-781-0766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: