# CHANGING LIVES COUNSELING ALLEN MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023922630
- **Authorized official:** TIMOTHY WITH ALLEN CMHC (COUNSELOR)
- **Authorized official phone:** (801) 332-9838

## Contact information

- **Practice address:** 9055 S 1300 E, SANDY, UT 84094-3133
- **Practice address phone:** (801) 332-9838
- **Mailing address:** 1213 W SADDLE BLUFF DR, MURRAY, UT 84123-2912
- **Mailing address phone:** (505) 463-5598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2026
- **Last updated:** 09/30/2026
