Provider Demographics
NPI:1427843812
Name:TAYLOR, JACE MICHAEL (ACMHC)
Entity type:Individual
Prefix:
First Name:JACE
Middle Name:MICHAEL
Last Name:TAYLOR
Suffix:
Gender:
Credentials:ACMHC
Other - Prefix:
Other - First Name:ARTEMIS
Other - Middle Name:RENEE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACMHC
Mailing Address - Street 1:32 E LAKE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:VINEYARD
Mailing Address - State:UT
Mailing Address - Zip Code:84059-5548
Mailing Address - Country:US
Mailing Address - Phone:801-721-3847
Mailing Address - Fax:
Practice Address - Street 1:7138 S HIGHLAND DR STE 220
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-3789
Practice Address - Country:US
Practice Address - Phone:801-709-1732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14160058-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health