Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tynaco LLC

Organization Mental Health Counselor · NPI 1376412395

Tynaco LLC is a Mental Health Counselor in Provo, Utah. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1555 N Freedom Blvd # 200W
Provo, UT 84604-2519
Phone: (385) 204-4025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1376412395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Palmer — Chief Executive Officer · (801) 673-6312
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 29, 2025
Mailing address1608 W 1970 N, Provo, UT 84604-5661

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