Healthcare Provider Details

I. General information

NPI: 1639019037
Provider Name (Legal Business Name): LUCY IZARD COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S 600 E STE 4A
SALT LAKE CITY UT
84102-1961
US

IV. Provider business mailing address

3801 S ASH CIR
SALT LAKE CITY UT
84109-3748
US

V. Phone/Fax

Practice location:
  • Phone: 470-725-9111
  • Fax:
Mailing address:
  • Phone: 470-725-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LUCY H IZARD
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 470-725-9111