Individual provider · NPI-1

Mallorie Borup, LCSW

Counselor, Mental Health · Kaysville, UT

NPI number1033073325
StatusActive
Last updated in NPPESDec 11, 2025

Details

NPI
1033073325
Entity type
Individual (NPI-1)
Name
Mallorie Borup
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2025
Certification date
Dec 11, 2025
Last updated
Dec 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health7638988-3501UTYes

Practice location

1188 W Sportsplex Dr Ste 203
Kaysville, UT 84037-6817

Phone 801-510-5049

Mailing address

1188 W Sportsplex Dr Ste 203
Kaysville, UT 84037-6817

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