Utah Lakes Neuroscience Mental Health Center Pllc
LBN: Utah Lakes Neuroscience Mental Health Center Pllc
Utah Lakes Neuroscience Mental Health Center Pllc is an health care organization with primary practice located at 3549 N University Ave Ste 200 , Provo UT 84604-4417. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Utah Lakes Neuroscience Mental Health Center Pllc can be contacted via phone (385) 265-2484, or through Roney, Liliana via phone (385) 265-2484.
Contact Information
Primary practice address
3549 N University Ave Ste 200
Provo UT 84604-4417
Phone: (385) 265-2484
Fax: (877) 894-5104
Website:
Authorized official contact:
Name: Roney, Liliana Licensed Clinical Social Worker (LCSW)
Phone: (385) 265-2484
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1609404813 |
|---|---|
| LBN Legal business name | Utah Lakes Neuroscience Mental Health Center Pllc |
| DBA Doing business as | |
| Authorized official | Roney, Liliana Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 1st, 2020 |
| Last updated | Apr 2nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609404813 | NPPES |
| Utah | Other | 11486773-3501 | LCSW LICENSE |
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