Healthcare Provider Details

I. General information

NPI: 1760993380
Provider Name (Legal Business Name): RODNEY MAYES MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 E SILVER SHADOWS DR
WASHINGTON UT
84780-8389
US

IV. Provider business mailing address

1326 E SILVER SHADOWS DR
WASHINGTON UT
84780-8389
US

V. Phone/Fax

Practice location:
  • Phone: 435-231-9084
  • Fax:
Mailing address:
  • Phone: 435-231-9084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number9722153-3904
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: