Healthcare Provider Details

I. General information

NPI: 1417632555
Provider Name (Legal Business Name): TSW HOLDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11075 S STATE ST STE 36
SANDY UT
84070-5188
US

IV. Provider business mailing address

13287 S NASHI LN
DRAPER UT
84020-8226
US

V. Phone/Fax

Practice location:
  • Phone: 801-472-1172
  • Fax:
Mailing address:
  • Phone: 801-518-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAUNYA COX
Title or Position: OWNER, MENTAL HEALTH THERAPIST
Credential: CMHC, BCN
Phone: 801-518-7444