Individual
TYLER BROCKBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
14164528-6009
UT
106H00000X
Marriage & Family Therapist
14164528-3904
UT
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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