NPI 1013809680

Queer Family Therapy, PLLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Provo, UT

Practice location

Address: 288 W Center St, Provo, UT 84601-4419
Phone: (509) 521-1536
Mailing address: 712 Utah Ave, Provo, UT 84606-5217

Authorised official

Name: Lacey Bagley
Title: Owner
Phone: (509) 521-1536

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Utah →

Registry record

NPI: 1013809680
Entity type: Organization
NPI issued: 17 Jul 2025
Record last updated: 17 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.