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

Theta Management Corporation

Organization Addiction (Substance Use Disorder) Counselor · NPI 1891036497

Theta Management Corporation is an Addiction (Substance Use Disorder) Counselor in Provo, Utah. Licensed in Utah. Registered with an NPI since 2013.

Licensed in
UT
In the registry since
2013
Specialties on file
15
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Practice location Address checks out

524 W 300 N Ste 102
Provo, UT 84601-2667
Phone: (801) 852-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X (UT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (UT)
Mental Health Counselor Taxonomy 101YM0800X (UT)
Psychologist Taxonomy 103T00000X (UT)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X (UT)
Clinical Social Worker Taxonomy 1041C0700X (UT)
Chiropractor Taxonomy 111N00000X (UT)
Nutrition Education Nutritionist Taxonomy 133NN1002X (UT)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X (UT)
Case Management Registered Nurse Taxonomy 163WC0400X (UT)
Licensed Practical Nurse Taxonomy 164W00000X (UT)
Case Manager/Care Coordinator Taxonomy 171M00000X (UT)
Health Educator Taxonomy 174H00000X (UT)
Homeopath Taxonomy 175L00000X (UT)
Phlebotomy Technician Taxonomy 246RP1900X (UT)

Record details

NPI number1891036497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kendra Bernal — Office Manager · (801) 852-1400
Other names Theta Wellness Center
NPI enumeratedMarch 6, 2013
Last updated in NPPESMarch 6, 2013
Mailing address524 W 300 N, Suite 102, Provo, UT 84601-2667

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