IVY MARE PHOENIX CMHC
NPI 1225668668
Counselor - Mental Health in West Valley City, UT
About Ivy Mare Phoenix Cmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY MARE PHOENIX CMHC (NPI 1225668668) is an individual mental health provider in West Valley City, Utah, licensed in Utah (11772649-6004) and active in the NPI registry since January 2020. She maintains a secondary practice location in Riverton.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ivy Phoenix's NPI number?
The NPI number for Ivy Phoenix is 1225668668. It was assigned to this individual provider in the NPPES registry on January 24, 2020. The provider is also known as Etta Ivyn Chavez.
Where is Ivy Phoenix located?
Ivy Phoenix practices at 2965 W 3500 S, West Valley City, UT 84119. The listed phone number is (801) 965-3608.
What is Ivy Phoenix's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Ivy Phoenix was last updated on August 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
