Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imperial Healing Estate

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1033606298

Imperial Healing Estate is an Adolescent and Children Mental Health Clinic/Center in Provo, Utah. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4

Practice location Address checks out

4194 Imperial Way
Provo, UT 84604-5328
Phone: (385) 312-0352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X

Record details

NPI number1033606298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorna Burr — Owner · (801) 598-7765
NPI enumeratedApril 13, 2018
Last updated in NPPESSeptember 30, 2019
Mailing address1561 W Aspen Trail Dr, Bluffdale, UT 84065-5183

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