Healthcare Provider Details

I. General information

NPI: 1912840380
Provider Name (Legal Business Name): CANDICES BOOKKEEPING AND PAYEE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 W 100 N
CENTRAL VALLEY UT
84754-3010
US

IV. Provider business mailing address

55 W 100 N
CENTRAL VALLEY UT
84754-3010
US

V. Phone/Fax

Practice location:
  • Phone: 385-224-0713
  • Fax: 385-224-0713
Mailing address:
  • Phone: 385-224-0713
  • Fax: 385-224-0713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CANDICE RENAE TICE
Title or Position: OWNER
Credential:
Phone: 385-224-0713