Organization · Type 2 NPI

Tynaco LLC

Mental Health Counselor · Provo, UT

NPI number 1376412395 Active

Practice location

1555 N Freedom Blvd # 200W
Provo, UT 84604-2519

Call (385) 204-4025 Map

Mailing address

1608 W 1970 N
Provo, UT 84604-5661

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376412395

Tynaco LLC's National Provider Identifier is 1376412395, issued on Oct 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Oct 30, 2025.