Trauma Center Of Utah, Llc

LBN: Trauma Center Of Utah, Llc
Trauma Center Of Utah, Llc is an health care organization with primary practice located at 4980 N University Ave Apt 12 , Provo UT 84604-6444. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Trauma Center Of Utah, Llc can be contacted via phone (801) 644-4014, or through Porter, Tonya via phone (801) 851-5504.

Contact Information

Primary practice address
4980 N University Ave Apt 12 Provo UT 84604-6444
Phone: (801) 644-4014
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Porter, Tonya LMHC
Phone: (801) 851-5504

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1295207231
LBN Legal business name Trauma Center Of Utah, Llc
DBA Doing business as
Authorized official Porter, Tonya LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2018
Last updated Dec 31st, 2018 - about 6 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.

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