Trauma Center of Utah, LLC

NPI #1295207231 in Provo, Utah

Provider Information

NPI Number
1295207231
Entity Type
Organization
Organization Name
Trauma Center of Utah, LLC
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Dec 31, 2018
Last Updated
Dec 31, 2018

Practice Location

Address
4980 N UNIVERSITY AVE APT 12
City
Provo
State
Utah
ZIP Code
84604-6444
Phone
(801) 644-4014

Authorized Official

Name
TONYA PORTER, LMHC
Title
CLINICAL DIRECTOR
Phone
(801) 851-5504

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health
Psychiatry & Neurology - Addiction MedicineAddiction Medicine
Psychiatry & Neurology - PsychiatryPsychiatry
Psychiatry & Neurology - Child & Adolescent PsychiatryChild & Adolescent Psychiatry
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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