PODERA THERAPY PLLC NPI 1053186825

NPI Information

  • NPI: 1053186825
  • Provider Name: PODERA THERAPY PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: PODERA THERAPY
  • Address: 8176 N OCONNELL LN
    EAGLE MOUNTAIN, UT
    ZIP 84005
  • Phone: (385) 351-5473

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NPI Details

PODERA THERAPY PLLC is a mental health counselor in Eagle Mountain, UT. PODERA THERAPY PLLC NPI is 1053186825. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Podera Therapy.

The provider's business location address is:

8176 N OCONNELL LN
EAGLE MOUNTAIN, UT
ZIP 84005-813
Phone: (385) 351-5473

The provider's authorized official is Roman Laws .
The authorized official title is Owner and has the following contact phone number (208) 244-1702.

The enumeration date for this NPI number is 11/21/2023 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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