Organization · Type 2 NPI
Rivendell Clinic LLC
Clinic/Center · Provo, UT
NPI number
1326745787
Active
Practice location
3507 N University Ave Ste 350F
Provo, UT 84604-4478
Fax (385) 446-5012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 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 | 261QM0855X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1326745787
Rivendell Clinic LLC's National Provider Identifier is 1326745787, issued on Feb 15, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Provo, UT. The record was last updated on Dec 3, 2025.