Healthcare Provider Details

I. General information

NPI: 1972027332
Provider Name (Legal Business Name): INSIGHTS COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9192 S 300 W STE 31
SANDY UT
84070-2634
US

IV. Provider business mailing address

9192 S 300 W STE 31
SANDY UT
84070-2634
US

V. Phone/Fax

Practice location:
  • Phone: 801-979-0610
  • Fax: 801-727-2300
Mailing address:
  • Phone: 801-979-0610
  • Fax: 801-727-2300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7096258-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7096258-8900
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5725100-6004
License Number StateUT
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number275986-3501
License Number StateUT

VIII. Authorized Official

Name: MR. DENNIS ALAN TUCKER
Title or Position: OWNER
Credential: LCSW
Phone: 801-979-0610