MISS TIFFANY YOUNGBERG (NPI# 1306407119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306407119 |
| Entity Type | Individual |
| Full Name | MISS TIFFANY YOUNGBERG |
| Credential | ACMHC |
| Practice Address |
7309 S 180 W Midvale UT 84047-1020 |
| Mailing Address |
105 Parkway Dr Clearfield UT 84015-1242 |
| Practice Telephone | 8015692153 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10802252-6009 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Parkway Dr, Clearfield, UT 840151242 | 8016284314 |
| Street Address |
7309 S 180 W |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260506 | Robert Brian Connor | Psychiatry & Neurology | 7309 S 180 W, Midvale, UT 84047-1020 | 2005-10-24 |
| 1215587092 | Phc of Utah, Inc. | Psychiatric Residential Treatment Facility | 7309 S 180 W, Midvale, UT 84047-1020 | 2019-09-13 |
| 1912435421 | Kyle Olson | Nurse Practitioner | 7309 S 180 W, Midvale, UT 84047-1020 | 2017-05-28 |
| 1699121913 | Kristen Mari Brown | Nurse Practitioner | 7309 S 180 W, Midvale, UT 84047 | 2016-05-05 |
| 1033513429 | Dr Robert Connor PC | Psychiatry & Neurology | 7309 S 180 W, Midvale, UT 84047-1020 | 2014-10-15 |
| 1649568452 | Anni Butterfield | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2011-07-13 |
| 1205124021 | Nancy Lieu | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2011-07-13 |
| 1679752422 | Lezli Burt | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2007-10-29 |
| 1871504159 | Phc of Utah, Inc. | Psychiatric Hospital | 7309 S 180 W, Midvale, UT 84047-1020 | 2006-08-11 |
| 1235100413 | Gail Joanne Liese | Psychologist | 7309 S 180 W, Midvale, UT 84047-1020 | 2006-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668722 | Katrina Riley | Counselor | 930 E Canyon Ridge Way Apt 10, Midvale, UT 84047-4454 | 2020-08-03 |
| 1659995553 | Kaitlin Longfellow | Counselor | 217 E 7800 S, Midvale, UT 84047-2653 | 2020-06-05 |
| 1225697162 | Stephanie Fae Cowley | Counselor | 91 E Fort Union Blvd, Midvale, UT 84047-1531 | 2019-06-12 |
| 1356826036 | Cottonwood Creek Counseling | Counselor | 7321 S State St Ste A, Midvale, UT 84047-6105 | 2018-09-28 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1972823953 | Regina Gulick | Counselor | 411 W 7200 S Ste 304, Midvale, UT 84047-1016 | 2010-06-01 |
| 1063686160 | Wayne Sears | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2008-04-18 |
| 1710539044 | Paige Nicole Gutzman | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2019-07-16 |
| 1649733205 | Danette Lee Larsen | Counselor | 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 | 2019-04-10 |
| Find all providers in MIDVALE | ||||
Please comment or provide details below to improve the information on MISS TIFFANY YOUNGBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.