Healthcare Provider Details

I. General information

NPI: 1063217230
Provider Name (Legal Business Name): SARAH BETH PATIENCE TOLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH BETH PATIENCE GARMON

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 W SOUTH JORDAN PKWY STE B2
SOUTH JORDAN UT
84095-4649
US

IV. Provider business mailing address

1234 W SOUTH JORDAN PKWY STE B2
SOUTH JORDAN UT
84095-4649
US

V. Phone/Fax

Practice location:
  • Phone: 801-821-4501
  • Fax:
Mailing address:
  • Phone: 801-821-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number14199518-3503
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14199518-3503
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: