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TYLER STEVEN POULSON
NPI 1902163678
Substance Abuse Rehabilitation Facility in Moroni, UT

Active since April 18, 2012
21260 NORTH 1450 EAST, MORONI, UT 84646(435) 445-5200(435) 445-5201 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Steven Poulson NPPES

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

TYLER STEVEN POULSON (NPI 1902163678) is an individual substance abuse rehabilitation facility provider in Moroni, Utah and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1902163678
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameTYLER STEVEN POULSON
Location Address21260 NORTH 1450 EASTMoroni, UT 84646
Mailing AddressPo Box 461Moroni, UT 84646-0461 · (435) 445-5200 · Fax (435) 445-5201
Phone(435) 445-5200
Fax(435) 445-5201
Sole ProprietorYes
Enumeration DateApril 18, 2012
✔ NPI 1902163678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
21260 NORTH 1450 EAST, Moroni, UT 84646
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Other Identifiers 1

Medicaid272503815UT

Other Providers at the Same Location NPPES 6

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

MICHAEL DAVID HASSLER
Substance Abuse Rehabilitation Facility
21260 NORTH 1450 EAST
MORONI, UT 84646
Sanpete County (435) 445-5200
MR. CLARK RANDY POWELL L.C.S.W.
Social Worker (Clinical)
21260 NORTH 1450 EAST
MORONI, UT 84646
Sanpete County (435) 851-6821
SKYLINE TREATMENT
Residential Treatment Facility, Emotionally Disturbed Children
21260 NORTH 1450 EAST
MORONI, UT 84646
Sanpete County (435) 851-6821
LORRIE A. COX
Counselor (Addiction (Substance Use Disorder))
21260 NORTH 1450 EAST
MORONI, UT 84646
Sanpete County (435) 851-6821
MACKENZIE J. BROWN
Counselor (Addiction (Substance Use Disorder))
21260 NORTH 1450 EAST
MORONI, UT 84646
Sanpete County (435) 851-6281
SANDRA NUNLEY
Counselor (Addiction (Substance Use Disorder))
21260 NORTH 1450 EAST
MORONI, UT 84646
Sanpete County (435) 851-6821

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 Tyler Poulson's NPI number?

The NPI number for Tyler Poulson is 1902163678. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Tyler Poulson located?

Tyler Poulson practices at 21260 North 1450 East, Moroni, UT 84646. The listed phone number is (435) 445-5200.

What is Tyler Poulson's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Tyler Poulson was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.