MEDICARE: MS. AMBER HENDRIX ACMHC

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	5185301-6009	UT

General Provider Information

NPI Number	:	1952257776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMBER HENDRIX ACMHC

Provider Business Mailing Address
First Line	:	281 E 7800 S
Second Line	:
City	:	MIDVALE
State	:	UT
Zip	:	84047-2653
Country	:	US
Telephone Number	:	801-558-6977
Fax Number	:

Provider Business Practice Location Address
First Line	:	7105 S HIGHLAND DR STE 304
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-7318
Country	:	US
Telephone Number	:	801-558-6977
Fax Number	:

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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