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

Utah Lakes Neuroscience Mental Health Center PLLC

Organization Clinical Social Worker · NPI 1609404813

Utah Lakes Neuroscience Mental Health Center PLLC is a Clinical Social Worker in Provo, Utah. Registered with an NPI since 2020.

In the registry since
2020
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

3549 N University Ave Ste 200
Provo, UT 84604-4417
Phone: (385) 265-2484
Fax: (877) 894-5104
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609404813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liliana Roney — Owner · (385) 265-2484
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020
Mailing address223 W Cougar Blvd # 704, Provo, UT 84604-2546

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