Organization · Type 2 NPI
Ty B. Aller, Lmft, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Providence, UT
NPI number
1164999835
Active
Practice location
545 W 465 N Ste 130
Providence, UT 84332-8005
Mailing address
PO Box 583
Providence, UT 84332-0583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
Other mental health clinic/center (including community mental health center) providers in Providence
About NPI 1164999835
Ty B. Aller, Lmft, PLLC's National Provider Identifier is 1164999835, issued on Oct 31, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Providence, UT. The record was last updated on Oct 31, 2018.