Provider Demographics
NPI:1982487286
Name:COOMBS, HILLARY (CSW)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:COOMBS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 N EAST PROMONTORY STE 270
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-2964
Mailing Address - Country:US
Mailing Address - Phone:801-382-8238
Mailing Address - Fax:886-560-4702
Practice Address - Street 1:172 N EAST PROMONTORY STE 270
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2964
Practice Address - Country:US
Practice Address - Phone:801-382-8238
Practice Address - Fax:866-560-4702
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT260022408OtherRAILROAD MEDICARE
UT000055266OtherMEDICARE PIN
UT8760003008007Medicaid