TYLER STARK LCMHC NPI 1598115669

NPI Information

NPI: 1598115669
Provider Name: TYLER STARK, LCMHC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
11075 S STATE ST STE 16
SANDY, UT
ZIP 84070
Phone: (801) 948-0939
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Tyler Stark, LCMHC is a professional counselor in Sandy, UT. Tyler Stark, LCMHC NPI is 1598115669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11075 S STATE ST STE 16
SANDY, UT
ZIP 84070-196
Phone: (801) 948-0939

The enumeration date for this NPI number is 6/20/2016 and was last updated on 6/20/2016.

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
1	101YP2500X	Counselor	Professional	8598755-6004	UTAH	Yes

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: 4/28/2024

NPI Synchronization or Removal

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