Healthcare Provider Details

I. General information

NPI: 1902473929
Provider Name (Legal Business Name): ABIGAIL M KOTT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 S 700 E STE 2A
SALT LAKE CITY UT
84102-2855
US

IV. Provider business mailing address

355 W 920 N APT C315
OREM UT
84057-3270
US

V. Phone/Fax

Practice location:
  • Phone: 801-935-4171
  • Fax: 801-935-4946
Mailing address:
  • Phone: 224-392-3850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number13427143-3904
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: