MEDICARE: DAVE MANGUM 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	8460542-6004	UT

General Provider Information

NPI Number	:	1386115491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVE MANGUM CMHC

Provider Business Mailing Address
First Line	:	510 E 9800 S
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-3546
Country	:	US
Telephone Number	:	801-793-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	7069 S HIGHLAND DR STE 100
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3731
Country	:	US
Telephone Number	:	801-793-0600
Fax Number	:

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/16/2018

Similar Medicare Providers

1629601828 — KRISTIN ROBINSON LLC
Practice Location Address:

7069 S HIGHLAND DR STE 100
COTTONWOOD HEIGHTS, UT
84121-3731

Practice Phone: 801-382-9197
Practice Fax: 801-665-1311

1477171866 — MARTHA KATALIN WYLD LCMHC
Practice Location Address:

7069 S HIGHLAND DR STE 115
COTTONWOOD HEIGHTS, UT
84121-3731

Practice Phone: 801-231-0946
Practice Fax:

1396542221 — MAMADI MARENA
Practice Location Address:

11103 COTTONWOOD PLZ
OMAHA, NE
68164-3731

Practice Phone: 504-261-0645
Practice Fax:

1417575879 — UTAH FAMILY DENTAL COTTONWOOD HEIGHTS
Practice Location Address:

7069 S HIGHLAND DR STE 200
SALT LAKE CITY, UT
84121-3731

Practice Phone: 801-943-2222
Practice Fax:

1104804194 — KRISTIN E. ROBINSON PHD
Practice Location Address:

7069 S HIGHLAND DR STE 100
SALT LAKE CITY, UT
84121-3731

Practice Phone: 801-382-9197
Practice Fax:

1679216881 — BANSEH NAEIM DMD
Practice Location Address:

7069 S HIGHLAND DR STE 200
SALT LAKE CITY, UT
84121-3731

Practice Phone: 801-292-0443
Practice Fax:

Directions to “ DAVE MANGUM CMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.