Provo Counseling Center
LBN: Provo Counseling Center
Provo Counseling Center is an health care organization with primary practice located at 3325 N University Ave Ste 300 , Provo UT 84604-7412. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Provo Counseling Center can be contacted via phone (801) 472-7134, or through Dennis, Cory Brad via phone (801) 472-7134.
Contact Information
Primary practice address
3325 N University Ave Ste 300
Provo UT 84604-7412
Phone: (801) 472-7134
Fax: (801) 743-7599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1992467963 |
|---|---|
| LBN Legal business name | Provo Counseling Center |
| DBA Doing business as | Provo Counseling Center |
| Authorized official | Dennis, Cory Brad PHC LCSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2021 |
| Last updated | Aug 25th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992467963 | NPPES |
| Utah | MEDICAID | 1992467963 |
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