Healthcare Provider Details

I. General information

NPI: 1578427803
Provider Name (Legal Business Name): LAUREN NICOLE OLINGER MS, LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 N 380 W
VINEYARD UT
84059-6646
US

IV. Provider business mailing address

739 N 380 W
VINEYARD UT
84059-6646
US

V. Phone/Fax

Practice location:
  • Phone: 435-282-8086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13977424-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: