Individual provider · Type 1 NPI

Lily Hanscom

Mental Health Counselor · Salt Lake City, UT

NPI number 1043921760 Active

Practice location

495 E 4500 S Ste 100
Salt Lake City, UT 84107-2797

Call (801) 746-4334 Map

Fax (801) 746-4337

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X14209872-6004 (UT)
Clinical Social Worker 1041C0700X14209872-6004 (UT)
Mental Health Counselor Primary 101YM0800X14209872-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1043921760

Lily Hanscom's National Provider Identifier is 1043921760, issued on Dec 13, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 30, 2026.