Healthcare Provider Details

I. General information

NPI: 1477347441
Provider Name (Legal Business Name): HANNAH REBECCA COVEY CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 E MALVERN AVE
SLC UT
84106-2723
US

IV. Provider business mailing address

1248 E MALVERN AVE
SALT LAKE CITY UT
84106-2723
US

V. Phone/Fax

Practice location:
  • Phone: 385-377-6271
  • Fax:
Mailing address:
  • Phone: 385-377-6271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14168159-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: