Healthcare Provider Details

I. General information

NPI: 1457193294
Provider Name (Legal Business Name): CANDICE JOY ARMSTRONG ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 05/28/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD
SPRINGVILLE UT
84663
US

IV. Provider business mailing address

266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD
SPRINGVILLE UT
84663
US

V. Phone/Fax

Practice location:
  • Phone: 866-534-7057
  • Fax:
Mailing address:
  • Phone: 801-822-9546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14218247-6009
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: