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MRS. LAURA RENAY RUSSELL CMHC NPI 1396377917


NPI Information

NPI: 1396377917
Provider Name: MRS. LAURA RENAY RUSSELL, CMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5414 DAYBREAK PKWY
C-4 #123
SOUTH JORDAN, UT
ZIP 84009
Phone: (385) 355-0830
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MRS. Laura Renay Russell, CMHC is a mental health counselor in South Jordan, UT. MRS. Laura Renay Russell, CMHC NPI is 1396377917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5414 DAYBREAK PKWY
C-4 #123
SOUTH JORDAN, UT
ZIP 84009
Phone: (385) 355-0830
Fax: (385) 308-7477

The enumeration date for this NPI number is 2/11/2020 and was last updated on 8/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health10322316-6004UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.