Healthcare Provider Details

I. General information

NPI: 1306409420
Provider Name (Legal Business Name): JANIS ALAYNE HOVI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 05/07/2023
Certification Date: 05/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 W. SOUTH JORDAN PARKWAY
SOUTH JORDAN UT
84095-1177
US

IV. Provider business mailing address

12148 S TOWER ARCH LN
HERRIMAN UT
84096-1607
US

V. Phone/Fax

Practice location:
  • Phone: 801-254-9700
  • Fax:
Mailing address:
  • Phone: 217-419-4213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11736076-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: