Provider Demographics
NPI:1083233506
Name:LOBROT, STEPHANIE TAYLER (CMHC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:TAYLER
Last Name:LOBROT
Suffix:
Gender:
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4603 W ISLA DAYBREAK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-7794
Mailing Address - Country:US
Mailing Address - Phone:435-503-1881
Mailing Address - Fax:
Practice Address - Street 1:2040 E MURRAY HOLLADAY RD STE 103C
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-5185
Practice Address - Country:US
Practice Address - Phone:208-391-7804
Practice Address - Fax:316-462-0994
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12201331-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health