Provider Demographics
NPI:1629440912
Name:MOJICA, TIRZAH (LCMHC)
Entity type:Individual
Prefix:
First Name:TIRZAH
Middle Name:
Last Name:MOJICA
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 W FIRE SKY DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2132
Mailing Address - Country:US
Mailing Address - Phone:435-301-8100
Mailing Address - Fax:
Practice Address - Street 1:169 S BLUFF ST
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3336
Practice Address - Country:US
Practice Address - Phone:435-301-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9326290-6004101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health