Stages Family Therapy Pllc

NPI #1437740487 in Eagle Mountain, Utah

Provider Information

NPI Number: 1437740487
Entity Type: Organization
Organization Name: Stages Family Therapy Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 2, 2021
Last Updated: Feb 2, 2021

Practice Location

Address: 4095 E PONY EXPRESS PKWY STE 15
City: Eagle Mountain
State: Utah
ZIP Code: 84005-5529
Phone: (801) 200-2506

Authorized Official

Name: DEREK WILLIS HAGEY, PHD
Title: CO-OWNER
Phone: (801) 200-2506

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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