Provider Demographics
NPI:1548149115
Name:MCCARTHY, SANDRA MANNING (ACMHC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:MANNING
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13229 S FOXFIELD CT
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7709
Mailing Address - Country:US
Mailing Address - Phone:801-358-4751
Mailing Address - Fax:
Practice Address - Street 1:13229 S FOXFIELD CT
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7709
Practice Address - Country:US
Practice Address - Phone:801-358-4751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14209069-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health