Trauma Center of Utah, LLC
Trauma Center of Utah, LLC is an Addiction (Substance Use Disorder) Counselor in Provo, Utah. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 8
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4980 N University Ave Apt 12Provo, UT 84604-6444
Phone: (801) 644-4014
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Addiction Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084A0401X |
| Psychiatry Physician | Taxonomy 2084P0800X |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
Record details
| NPI number | 1295207231 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tonya Porter — Clinical Director · (801) 851-5504 |
| NPI enumerated | December 31, 2018 |
| Last updated in NPPES | December 31, 2018 |
| Mailing address | 4980 N University Ave Apt 12, Provo, UT 84604-6444 |
Other providers in Provo
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Mr. Robert Stark, MA, CMHC
750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 · (801) 373-4760
-
Hadyn Kyle Stimpson
1053 W 1020 S, Provo, UT 84601-5656 · (801) 515-3323
-
Alice J. Stryker, SUDC
151 S Univ Ave, Provo, UT 84601-4427 · (801) 851-7119
-
Theta Management Corporation
524 W 300 N Ste 102, Provo, UT 84601-2667 · (801) 852-1400
-
Alejandra Valencia, LSAC
151 S University Ave Ste 1500, Provo, UT 84601-4427 · (801) 851-7127
-
Gabriel Catherine Wagner
750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760
-
Mr. Jason Mark Webb, LCSW, ASUDC
750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760
-
Kimberly Young
151 S University Ave Ste 3200, Provo, UT 84601-4427 · (801) 851-7127