=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982487286
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HILLARY COOMBS CSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2023
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 172 N EAST PROMONTORY STE 270
-----------------------------------------------------
City | FARMINGTON
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84025-2964
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-382-8238
-----------------------------------------------------
Fax | 866-560-4702
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 172 N EAST PROMONTORY STE 270
-----------------------------------------------------
City | FARMINGTON
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84025-2964
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-382-8238
-----------------------------------------------------
Fax | 886-560-4702
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------