Organization · Type 2 NPI
Trauma Center of Utah, LLC
Adolescent and Children Mental Health Clinic/Center · Provo, UT
Practice location
4980 N University Ave Apt 12
Provo, UT 84604-6444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Child & Adolescent Psychiatry Physician | 2084P0804X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
Adolescent and Children Mental Health Clinic/Center: 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.
Other adolescent and children mental health clinic/center providers in Provo
About NPI 1295207231
Trauma Center of Utah, LLC's National Provider Identifier is 1295207231, issued on Dec 31, 2018. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Provo, UT. The record was last updated on Dec 31, 2018.