TINA LYN BRAITHWAITE NPI 1427573609

NPI Information

  • NPI: 1427573609
  • Provider Name: TINA LYN BRAITHWAITE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 11075 S STATE ST
    SANDY, UT
    ZIP 84070
  • Phone: (801) 360-7777

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NPI Details

Tina Lyn Braithwaite is a mental health counselor in Sandy, UT. Tina Lyn Braithwaite NPI is 1427573609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11075 S STATE ST
SANDY, UT
ZIP 84070-164
Phone: (801) 360-7777

The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health10390942-6009UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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