Healthcare Provider Details

I. General information

NPI: 1730498312
Provider Name (Legal Business Name): SARA COLLINS MA, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 S WASATCH BLVD STE 270
SALT LAKE CITY UT
84124-4795
US

IV. Provider business mailing address

4505 S WASATCH BLVD STE 270
SALT LAKE CITY UT
84124-4795
US

V. Phone/Fax

Practice location:
  • Phone: 801-803-3427
  • Fax:
Mailing address:
  • Phone: 801-803-3427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 48339
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number9363263-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: