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Organization

GREENCREST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYLER BROCKBANK (FOUNDER)
(385) 335-5256
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/17/2026
Last updated
02/17/2026
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