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

Queer Family Therapy, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1013809680

Queer Family Therapy, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Provo, Utah. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

288 W Center St
Provo, UT 84601-4419
Phone: (509) 521-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1013809680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lacey Bagley — Owner · (509) 521-1536
NPI enumeratedJuly 17, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address712 Utah Ave, Provo, UT 84606-5217

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