Theta Wellness Center

LBN: Theta Management Corporation
Theta Wellness Center is an health care organization with primary practice located at 524 W 300 N Suite 102, Provo UT 84601-2667. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Chiropractic Providers / Chiropractor, Dietary & Nutritional Service Providers / Nutrition, Education, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Case Management, Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator, Other Service Providers / Homeopath, Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Theta Management Corporation can be contacted via phone (801) 852-1400, or through Bernal, Kendra A. via phone (801) 852-1400.

Contact Information

Primary practice address
524 W 300 N Suite 102 Provo UT 84601-2667
Phone: (801) 852-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bernal, Kendra A.
Phone: (801) 852-1400

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Utah
Behavioral Health & Social Service Providers / Psychologist 103T00000X Utah
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X Utah
Chiropractic Providers / Chiropractor 111N00000X Utah
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X Utah
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X Utah
Nursing Service Providers / Case Management 163WC0400X Utah
Nursing Service Providers / Licensed Practical Nurse 164W00000X Utah
Other Service Providers / Case Manager/Care Coordinator 171M00000X Utah
Other Service Providers / Health Educator 174H00000X Utah
Other Service Providers / Homeopath 175L00000X Utah
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Utah

Profile Details

NPI number 1891036497
LBN Legal business name Theta Management Corporation
DBA Doing business as Theta Wellness Center
Authorized official Bernal, Kendra A.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2013
Last updated Mar 6th, 2013 - about 11 years ago

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.

Request for update

Popular Providers