Healthcare Provider Details

I. General information

NPI: 1912441288
Provider Name (Legal Business Name): TAUNYA COX CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2016
Last Update Date: 12/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1258 W SOUTH JORDAN PKWY SUITE 202
SOUTH JORDAN UT
84095-4711
US

IV. Provider business mailing address

13287 S NASHI LN
DRAPER UT
84020-8226
US

V. Phone/Fax

Practice location:
  • Phone: 801-255-1155
  • Fax:
Mailing address:
  • Phone: 801-518-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9149623-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: