Healthcare Provider Details

I. General information

NPI: 1952245276
Provider Name (Legal Business Name): CORA ANN REEDY CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1893 E SKYLINE DR STE A
SOUTH OGDEN UT
84403-5218
US

IV. Provider business mailing address

382 W 650 N
KAYSVILLE UT
84037-3128
US

V. Phone/Fax

Practice location:
  • Phone: 435-633-3064
  • Fax:
Mailing address:
  • Phone: 435-633-3064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13438352-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: