Healthcare Provider Details

I. General information

NPI: 1518356906
Provider Name (Legal Business Name): QUALITY CONSULTATION INTERNATIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1659 N 100 E
SPRINGVILLE UT
84663-3177
US

IV. Provider business mailing address

1659 N 100 E
SPRINGVILLE UT
84663-3177
US

V. Phone/Fax

Practice location:
  • Phone: 801-609-4719
  • Fax:
Mailing address:
  • Phone: 801-609-4719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 32507
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberLCSW 32507
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TANYA LYNN WHITE
Title or Position: CEO
Credential: LCSW
Phone: 480-553-1843