Provider Demographics
NPI:1336671080
Name:CONNERS, FAITHE ANN FELT (LCSW)
Entity type:Individual
Prefix:
First Name:FAITHE
Middle Name:ANN FELT
Last Name:CONNERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 W 8900 N
Mailing Address - Street 2:
Mailing Address - City:DAMMERON VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84783-5201
Mailing Address - Country:US
Mailing Address - Phone:801-870-9082
Mailing Address - Fax:
Practice Address - Street 1:1036 E RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4477
Practice Address - Country:US
Practice Address - Phone:435-656-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 172V00000X
UT12278170-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No172V00000XOther Service ProvidersCommunity Health Worker