Provider Demographics
NPI:1194469981
Name:MCGARRY, AMY (ACMHC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MCGARRY
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5629 W 13100 S
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-6921
Mailing Address - Country:US
Mailing Address - Phone:801-349-9606
Mailing Address - Fax:801-336-4106
Practice Address - Street 1:3674 W SOUTH JORDAN PKWY STE 101
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-7160
Practice Address - Country:US
Practice Address - Phone:801-349-9606
Practice Address - Fax:801-336-4106
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12468778-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health