Corinna Fitzwater, CMHC
Individual provider Active NPI Mental Health Counselor · Millcreek, UT
NPI 1700567799 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1700567799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 11291192-6004 (UT)
- Practice address
- 1398 E Luck LN
Millcreek, UT 84106-2944 - Phone
- (801) 251-6767
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11291192-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodhaven at Millcreek Psychotherapy Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11291192-6004 | UT | Yes |
Addresses
Primary practice location
1398 E Luck LN
Millcreek, UT 84106-2944
Mailing address
4659 S Quail Vista LN Apt K
Salt Lake City, UT 84117-4864
Phone (801) 971-4866
Other providers in Millcreek, UT
- Ever Better Health PC
- Julie Fakih
- Jennifer Lynn Falkner
- Far Sky Healing
- Kevin Michael Fenstermacher
- Sean Michael Forster
- Gary Wayne Foss
- Weston Fredman
- Friends of Switchpoint Inc.
- Yanni B Gallagher
All providers in Millcreek, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.