Healthcare Provider Details

I. General information

NPI: 1235940586
Provider Name (Legal Business Name): TINY TALKERS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 N CHURCH ST STE 303
LAYTON UT
84040-6617
US

IV. Provider business mailing address

2940 N CHURCH ST STE 303
LAYTON UT
84040-6617
US

V. Phone/Fax

Practice location:
  • Phone: 385-389-0928
  • Fax: 801-980-7451
Mailing address:
  • Phone: 385-389-0928
  • Fax: 801-980-7451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: KAILEE PETERSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 385-399-0928