Queer Family Therapy, Pllc

NPI #1013809680 in Provo, Utah

Provider Information

NPI Number: 1013809680
Entity Type: Organization
Organization Name: Queer Family Therapy, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 17, 2025
Last Updated: Jul 17, 2025

Practice Location

Address: 288 W CENTER ST
City: Provo
State: Utah
ZIP Code: 84601-4419
Phone: (509) 521-1536

Authorized Official

Name: DR. LACEY BAGLEY, LMFT
Title: OWNER
Phone: (509) 521-1536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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