OrganizationActive
Tynaco LLC
NPI 1376412395 · Mental Health Counselor · Provo, UT
Provider details
- NPI number
- 1376412395
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ty Palmer, Chief Executive Officer(801) 673-6312
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1555 N Freedom Blvd # 200w
Provo, UT 84604-2519
Phone: (385) 204-4025
Approximate (ZIP-level) locationGet directions
Mailing address
1608 W 1970 N
Provo, UT 84604-5661
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2025-10-30
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.