Provider Demographics
NPI:1538632757
Name:RUBEY, TALYSHA (LCMHC)
Entity type:Individual
Prefix:
First Name:TALYSHA
Middle Name:
Last Name:RUBEY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:TALYSHA
Other - Middle Name:
Other - Last Name:TINGEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:145 E 900 S STE 6
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-4241
Mailing Address - Country:US
Mailing Address - Phone:801-449-1636
Mailing Address - Fax:
Practice Address - Street 1:986 W ATHERTON DR STE 270
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5519
Practice Address - Country:US
Practice Address - Phone:801-693-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-10
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health