MEDICARE: STEPHANIE TAYLER LOBROT CMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	12201331-6004	UT

General Provider Information

NPI Number	:	1083233506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE TAYLER LOBROT CMHC

Provider Business Mailing Address
First Line	:	4832 W CROSSWATER RD
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84009-6131
Country	:	US
Telephone Number	:	385-526-7973
Fax Number	:

Provider Business Practice Location Address
First Line	:	4832 W CROSSWATER RD
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84009-6131
Country	:	US
Telephone Number	:	385-526-7973
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	02/04/2026

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