Provider Demographics
NPI:1730989567
Name:CALDWELL, MAKAELA HOLLY (LMFT)
Entity type:Individual
Prefix:
First Name:MAKAELA
Middle Name:HOLLY
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 E 400 S UNIT D
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-5562
Mailing Address - Country:US
Mailing Address - Phone:801-721-7300
Mailing Address - Fax:
Practice Address - Street 1:170 S INTERSTATE PLZ STE 100
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-8601
Practice Address - Country:US
Practice Address - Phone:385-236-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13016828-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist