Ty B. Aller, Lmft, Pllc

NPI #1164999835 in Providence, Utah

Provider Information

NPI Number: 1164999835
Entity Type: Organization
Organization Name: Ty B. Aller, Lmft, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 31, 2018
Last Updated: Oct 31, 2018

Practice Location

Address: 545 W 465 N STE 130
City: Providence
State: Utah
ZIP Code: 84332-8005
Phone: (385) 200-3993

Authorized Official

Name: MR. TY ALLER, LMFT
Title: PRESIDENT
Phone: (385) 200-3993

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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