MYRNA JARVIS MCMILLAN


Address: 5667 S Redwood Rd, Taylorsville, UT 84123-5433
Phone: 8019791351

MYRNA JARVIS MCMILLAN (NPI# 1306361340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306361340
Entity Type Individual
Full Name MYRNA JARVIS MCMILLAN
Credential AMFT
Practice Address 5667 S Redwood Rd
Taylorsville
UT 84123-5433
Mailing Address 220 N State St
Lindon
UT 84042-1827
Practice Telephone 8019791351
Practice Fax Number 8019791351
Mailing Telephone 8014273052
Enumeration Date 2017-08-10
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 101Y00000X 05

Office Location

Street Address 5667 S REDWOOD RD
City TAYLORSVILLE
State UT
Zip Code 84123-5433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639156649 Joseph K Yau Psychiatry & Neurology 5667 S Redwood Rd, Taylorsville, UT 84123-5433 2005-12-30
1396242772 Jan M Lerwick Counselor 5667 S Redwood Rd, Taylorsville, UT 84123-5433 2018-04-11
1508382862 Katherine Hawkins Marriage & Family Therapist 5667 S Redwood Rd, Taylorsville, UT 84123-5433 2017-08-18
1790201143 David Levon Hunsaker Community Health Worker 5667 S Redwood Rd, Taylorsville, UT 84123-5433 2017-08-17
1912420183 Megan Marie Destromp Community Health Worker 5667 S Redwood Rd, Taylorsville, UT 84123-5433 2017-07-19
1467900134 Jordan Rasmussen Social Worker 5667 S Redwood Rd, Taylorsville, UT 84123-5433 2016-09-12
1982057659 Veronica Rogers Social Worker 5667 S Redwood Rd, Suite 6b, Taylorsville, UT 84123-5433 2016-07-19
1962865832 Clark L Warner Counselor 5667 S Redwood Rd, 6b, Taylorsville, UT 84123-5433 2016-03-30
1841600137 Jacob Louis Peterson Case Manager/Care Coordinator 5667 S Redwood Rd, Taylorsville, UT 84123-5433 2014-05-07
1326463134 Ashlie Carlin Counselor 5667 S Redwood Rd, Suite #6b, Taylorsville, UT 84123-5433 2014-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679186837 Utah Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 5792 South Redwood Road, Taylorsville, UT 84123 2020-08-27
1164040614 Mark E Hutchinson Counselor 5047 S Galleria Drive, Murray, UT 84123 2020-07-10
1396259321 Utah Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4082 South Redwood Road, West Valley Road, UT 84123 2017-11-29
1083131890 Kelli Mcstotts Counselor 5689 S. Redwood Road, Taylorsville, UT 84123 2017-08-23
1740706571 Laura B Ellsworth Case Manager/Care Coordinator 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 2017-08-14
1790214120 Integrated Autism Therapies Behavioral Analyst 5984 S. Susquehanna, Murray, UT 84123 2017-06-08
1083163885 Michael John Flint Counselor 5861 South Redwood Road, #24, Taylorsville, UT 84123 2016-09-22
1548716236 Andres Ramos Licensed Psychiatric Technician 697 West 4170 South, Murray, UT 84123 2016-09-01
1467807040 Sheryl R Schindler Counselor 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 2016-05-02
1730562141 Megan Merica Snarr Dentist 597 West 5300 South, Murray, UT 84123 2015-07-02
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538714464 Madison Abele Counselor 4179 S Riverboat Rd Ste 220, Taylorsville, UT 84123-2986 2019-08-07
1174063929 Andrea Elizabeth Sinclair Counselor 5770 S 1500 W # B, Taylorsville, UT 84123-5216 2017-02-27
1205243680 Kumai Kahalepuna Counselor 6013 S. Redwood Rd, Taylorsville, UT 84123 2014-07-17
1174930812 Elizabeth Beckmann Counselor 6013 S. Redwood Rd., Taylorsville, UT 84123 2014-07-15
1083024624 Rustie Chastina Wayne-jones Counselor 5485 S 3320 W, Taylorsville, UT 84129-7855 2014-05-05
1750719787 Jackie Lister Counselor 5667 Redwood Rd, Taylorsville, UT 84123 2013-10-30
1104267889 Linda Akers England Counselor 121 E Main Ave, Taylorsville, NC 28681-2514 2013-07-10
1336753961 Megan Elizabeth Olsen Counselor 4179 S Riverboat Rd Ste 220, Taylorsville, UT 84123-2986 2020-09-01
1700445442 Christina Sly Counselor 6013 S Redwood Rd, Taylorsville, UT 84123-5220 2019-06-06
1174181606 Tyler Henrie Counselor 6013 S Redwood Rd, Taylorsville, UT 84123-5220 2019-05-30
Find all providers in TAYLORSVILLE

Competitor

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City TAYLORSVILLE
Zip Code 84123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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