Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Marisa Leigh Moss

Individual provider Counselor · NPI 1497234132

Mrs. Marisa Leigh Moss is a Counselor in Provo, Utah. Licensed in Utah. Registered with an NPI since 2018.

Licensed in
UT
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11295956-3501 (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1497234132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

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