Individual provider · Type 1 NPI

Alexis Izatt

Mental Health Counselor · Salt Lake City, UT

NPI number 1396544763 Active

Practice location

111 E 5600 S Ste 200
Salt Lake City, UT 84107-8158

Mailing address

16255 Ventura Blvd Ste 830
Encino, CA 91436-2317

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800X14240290-6009 (UT)
Art Therapist 221700000X25-542

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About NPI 1396544763

Alexis Izatt's National Provider Identifier is 1396544763, issued on Mar 10, 2025. 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 Oct 13, 2025.