# TYNACO LLC

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

## Provider details

- **NPI number:** 1376412395
- **Authorized official:** TY PALMER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (801) 673-6312

## Contact information

- **Practice address:** 1555 N FREEDOM BLVD \# 200W, PROVO, UT 84604-2519
- **Practice address phone:** (385) 204-4025
- **Mailing address:** 1608 W 1970 N, PROVO, UT 84604-5661

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2025
- **Last updated:** 10/30/2025