CENTER FOR MARRIAGE PREPARATION NPI 1205568045

NPI Information

NPI: 1205568045
Provider Name: CENTER FOR MARRIAGE PREPARATION
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 46D2227491

Address:
3355 N UNIVERSITY AVE STE 250-D
PROVO, UT
ZIP 84604
Phone: (801) 471-9146
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CENTER FOR MARRIAGE PREPARATION is an adult mental health clinic center in Provo, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CENTER FOR MARRIAGE PREPARATION NPI is 1205568045. The provider is registered as an organization entity type.

The provider's business location address is:

3355 N UNIVERSITY AVE STE 250-D
PROVO, UT
ZIP 84604-481
Phone: (801) 471-9146

The provider's authorized official is Jeremy Boden .
The authorized official title is Executive Director and has the following contact phone number (801) 471-9146.

The CLIA number assigned to this NPI record is 46D2227491 - other - domestic violence shelter with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2022 and was last updated on 6/29/2022.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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