Healthcare Provider Details

I. General information

NPI: 1013821883
Provider Name (Legal Business Name): RESOURCES ONE TO ANOTHER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 JERMOORE RD
OBETZ OH
43207-4542
US

IV. Provider business mailing address

4405 JERMOORE RD
OBETZ OH
43207-4542
US

V. Phone/Fax

Practice location:
  • Phone: 801-232-9108
  • Fax:
Mailing address:
  • Phone: 801-232-9108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASON TACKETT
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPCC; CMHC
Phone: 801-232-9108