Most Relevant Information
Provider Data
| NPI Number: | 1003597089 |
| Provider Name: | TYNE HIATT CMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 12862008-6004 |
Most Important Dates
| Enumeration Date: | 07/31/2023 |
| Last Updated: | 01/24/2024 |
Provider Practice Location
572 N 4550 W
WEST POINT
UT
840156965
Practice Location Phone/Fax
| Phone: | 8016168250 |
| Fax: |
Provider Mailing Location
572 N 4550 W
WEST POINT
UT
840156965
Provider Mailing Phone/Fax
| Phone: | 8016168250 |
| Fax: |