NPI 1164999835

Ty B. Aller, Lmft, PLLC

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

Practice location

Address: 545 W 465 N STE 130, Providence, UT 84332-8005
Phone: (385) 200-3993
Mailing address: PO Box 583, Providence, UT 84332-0583

Authorised official

Name: Ty Aller
Title: President
Phone: (385) 200-3993

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: 1164999835
Entity type: Organization
NPI issued: 31 Oct 2018
Record last updated: 31 Oct 2018

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.