TERRA PRINCE ACMHC NPI 1609410810

NPI Information

NPI: 1609410810
Provider Name: TERRA PRINCE, ACMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
10808 S RIVER FRONT PKWY STE 308
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 984-6726
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Terra Prince, ACMHC is a mental health counselor in South Jordan, UT. Terra Prince, ACMHC NPI is 1609410810. 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:

10808 S RIVER FRONT PKWY STE 308
SOUTH JORDAN, UT
ZIP 84095-761
Phone: (801) 984-6726
Fax: (801) 984-4715

The enumeration date for this NPI number is 10/30/2019 and was last updated on 10/30/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	11501401-6009	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11501401-6009	OTHER	UTAH	DOPL

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: 11/14/2023

NPI Synchronization or Removal

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