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GEORGE (TREY) TANNER NICHOLSON III
NPI 1033080445
Counselor - Addiction (Substance Use Disorder) in South Salt Lake, UT

Active since September 17, 2025
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115(385) 467-4548 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George (trey) Tanner Nicholson Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE (TREY) TANNER NICHOLSON III (NPI 1033080445) is an individual addiction (substance use disorder) provider in South Salt Lake, Utah and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1033080445
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGEORGE (TREY) TANNER NICHOLSON III
Location Address177 W PRICE AVESouth Salt Lake, UT 84115-4345
Mailing Address177 W Price AveSouth Salt Lake, UT 84115-4345 · (386) 468-4548
Phone(385) 467-4548
Sole ProprietorYes
Enumeration DateSeptember 17, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1033080445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
177 W PRICE AVE, South Salt Lake, UT 84115
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARIA LAURA DRUMMOND CTRS
Specialist
177 W PRICE AVE
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-4449
BRANDI SANDOVAL
Counselor
177 W PRICE AVE
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-4543
CORI MAACK
Peer Specialist
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 414-3584
ELVIRA YRAID RUBIO
Peer Specialist
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 707-6666
KADYN JANAE MUNK
Peer Specialist
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 834-9028
ELYSE ROBERTS CMHC
Counselor (Mental Health)
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115
Salt Lake County (854) 684-4773
HELENE KALALA
Peer Specialist
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 718-1479
ELOISE ELAINE GUERRA
Peer Specialist
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115
Salt Lake County (385) 468-4537

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George (trey) Nicholson's NPI number?

The NPI number for George (trey) Nicholson is 1033080445. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is George (trey) Nicholson located?

George (trey) Nicholson practices at 177 W Price Ave, South Salt Lake, UT 84115. The listed phone number is (385) 467-4548.

What is George (trey) Nicholson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for George (trey) Nicholson was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.