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TRAUMA CENTER OF UTAH LLC NPI 1295207231


NPI Information

NPI: 1295207231
Provider Name: TRAUMA CENTER OF UTAH, LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
4980 N UNIVERSITY AVE APT 12
PROVO, UT
ZIP 84604
Phone: (801) 644-4014
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TRAUMA CENTER OF UTAH, LLC is an adolescent and children 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. TRAUMA CENTER OF UTAH, LLC NPI is 1295207231. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4980 N UNIVERSITY AVE APT 12
PROVO, UT
ZIP 84604-444
Phone: (801) 644-4014

The provider's authorized official is Tonya Porter .
The authorized official title is Clinical Director and has the following contact phone number (801) 851-5504.

The enumeration date for this NPI number is 12/31/2018 and was last updated on 12/31/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
32084A0401XPsychiatry & NeurologyAddiction MedicineNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7261QM0850XClinic/CenterAdult Mental HealthNo
8261QM0855XClinic/CenterAdolescent and Children Mental 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: 4/28/2024

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