Provider Demographics
NPI:1003620410
Name:ROBINSON, CARA MICHELLE (CMHC)
Entity type:Individual
Prefix:MS
First Name:CARA
Middle Name:MICHELLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 E 1130 N
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-2625
Mailing Address - Country:US
Mailing Address - Phone:385-515-2493
Mailing Address - Fax:
Practice Address - Street 1:630 E 1130 N
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-2625
Practice Address - Country:US
Practice Address - Phone:385-515-2493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13280358-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty