Red Tyde
Red Tyde is a Mental Health Clinic/Center (Including Community Mental Health Center) in Logan, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
Practice location Address checks out
196 S 100 WLogan, UT 84321-5233
Phone: (435) 938-1440
Fax: (833) 359-1642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1679156004 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Redmond — Owner · (435) 213-3797 |
| NPI enumerated | May 3, 2021 |
| Last updated in NPPES | October 15, 2026 |
| Certification date | October 15, 2026 |
| Mailing address | 280 S Main St, Bountiful, UT 84010-6236 |
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