Healthcare Provider Details

I. General information

NPI: 1386598936
Provider Name (Legal Business Name): NURTURING RESILIENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 E PAWNEE RD # B
EAGLE MOUNTAIN UT
84005-6235
US

IV. Provider business mailing address

3807 E PAWNEE RD # B
EAGLE MOUNTAIN UT
84005-6235
US

V. Phone/Fax

Practice location:
  • Phone: 801-709-0765
  • Fax:
Mailing address:
  • Phone: 801-709-0765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TOBI LONG
Title or Position: PART OWNER
Credential: LCSW
Phone: 801-709-0765