Provider Demographics
NPI:1750691382
Name:TINSLEY, MONICA LUZ (CMHC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LUZ
Last Name:TINSLEY
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LUZ
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGUILAR, TALLAKSON
Mailing Address - Street 1:1611 E 2450 S STE 5A
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-6285
Mailing Address - Country:US
Mailing Address - Phone:435-817-4301
Mailing Address - Fax:
Practice Address - Street 1:1611 E 2450 S STE 5A
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-6285
Practice Address - Country:US
Practice Address - Phone:435-817-4296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-17
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health