Organization · Type 2 NPI

Tyler M. Stark, Lcmhc, Corp.

Community/Behavioral Health Agency · Sandy, UT

NPI number 1083162226 Active

Practice location

11075 S State St Ste 16
Sandy, UT 84070-5196

Call (801) 948-0939 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X8598755-6004 (UT)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1083162226

Tyler M. Stark, Lcmhc, Corp.'s National Provider Identifier is 1083162226, issued on Sep 16, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Sandy, UT. The record was last updated on Sep 16, 2016.