Slade, Tysa

Slade, Tysa is an sole proprietor health care provider with primary practice located at 727 E 1100 S , Mapleton UT 84664-5016. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Slade, Tysa can be contacted via phone (801) 602-8336.

Contact Information

Primary practice address
727 E 1100 S Mapleton UT 84664-5016
Phone: (801) 602-8336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1689209355
LBN Legal business name Slade, Tysa
Credentials LAMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2020
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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