MEDICARE: RENEWED CONNECTIONS THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1053279620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWED CONNECTIONS THERAPY

Provider Business Mailing Address
First Line	:	10808 S RIVER FRONT PKWY STE 373
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-6300
Country	:	US
Telephone Number	:	801-448-5183
Fax Number	:

Provider Business Practice Location Address
First Line	:	10808 S RIVER FRONT PKWY STE 373
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-6300
Country	:	US
Telephone Number	:	801-448-5183
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TUYET-MAI TAYLOR BLANCHARD
Credential	:	LMFT
Telephone Number	:	801-448-5183

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “RENEWED CONNECTIONS THERAPY ” Practice Location

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