Provider Demographics
NPI:1457086670
Name:SINGLETON, TRISHA DIANE (LCSW)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:DIANE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 N KAYS DR STE 210
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-4153
Mailing Address - Country:US
Mailing Address - Phone:801-738-4653
Mailing Address - Fax:807-779-7808
Practice Address - Street 1:498 N KAYS DR STE 210
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-4153
Practice Address - Country:US
Practice Address - Phone:801-738-4653
Practice Address - Fax:807-779-7808
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT370704-3502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health