Provider Demographics
NPI:1871893420
Name:WESTMORELAND, VICKY (CMHC)
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:MS
Other - First Name:VICKY
Other - Middle Name:
Other - Last Name:WESTMORELAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LASUDC
Mailing Address - Street 1:3538 S TERRA SOL DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-5087
Mailing Address - Country:US
Mailing Address - Phone:801-205-9151
Mailing Address - Fax:
Practice Address - Street 1:1345 E 3900 S STE 102
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84124-4402
Practice Address - Country:US
Practice Address - Phone:801-542-0933
Practice Address - Fax:801-849-1935
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT282226-6008101YA0400X
UT282226-6009101YM0800X
UT282226-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)