# GREENCREST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083567374
- **Authorized official:** TYLER BROCKBANK (FOUNDER)
- **Authorized official phone:** (385) 335-5256

## Contact information

- **Practice address:** 3125 EXEC PKWY STE 120, LEHI, UT 84048-5750
- **Practice address phone:** (385) 335-5256
- **Mailing address:** 3125 EXEC PKWY STE 120, LEHI, UT 84048-5750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2026
- **Last updated:** 02/17/2026
