Healthcare Provider Details

I. General information

NPI: 1194629063
Provider Name (Legal Business Name): DANDELION COUNSELING AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 N MAIN ST STE 202
LAYTON UT
84041-4873
US

IV. Provider business mailing address

1133 N MAIN ST STE 202
LAYTON UT
84041-4873
US

V. Phone/Fax

Practice location:
  • Phone: 801-784-0184
  • Fax:
Mailing address:
  • Phone: 801-784-0184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAMANTHA M TANNER
Title or Position: OWNER/THERAPIST
Credential: CMHC
Phone: 801-784-0184