Tyler Petersen

LBN: Tyler Petersen
Tyler Petersen is an health care organization with primary practice located at 13351 S Shaunna Ln , Herriman UT 84096-4706. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Tyler Petersen can be contacted via phone (801) 919-4657, or through Petersen, Tyler Rolland via phone (801) 919-4657.

Contact Information

Primary practice address
13351 S Shaunna Ln Herriman UT 84096-4706
Phone: (801) 919-4657
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Tyler Rolland Licensed Clinical Social Worker (LCSW)
Phone: (801) 919-4657

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1871188557
LBN Legal business name Tyler Petersen
DBA Doing business as
Authorized official Petersen, Tyler Rolland Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2021
Last updated Mar 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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