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

Wasatch G O D Medical LLC

Organization Mental Health Counselor · NPI 1114897345

Wasatch G O D Medical LLC is a Mental Health Counselor in South Salt Lake, Utah. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

2480 S Main St Ste 108
South Salt Lake, UT 84115-5002
Phone: (385) 612-1794
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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
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1114897345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyree Knight — Manager · (385) 612-1794
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address2480 S Main St Ste 108, South Salt Lake, UT 84115-5002

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