Ty Bracken Aller, - Couples Therapy in Providence, UT

Ty Bracken Aller, is a Marriage & Family Therapist based in Providence, Utah. Ty Bracken Aller is licensed to practice in Utah (license number 9560142-3902) and his current practice location is 545 W 465 N Ste 130, Providence, Utah. He can be reached at his office (for appointments etc.) via phone at (385) 200-3993.

NPI number for Ty Bracken Aller is 1386119600 and his current mailing address is Po Box 583, Providence, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386119600.

Contact Information

Ty Bracken Aller,
545 W 465 N Ste 130,
Providence, UT 84332-8005
(385) 200-3993
Not Available

Healthcare Provider's Profile

Full NameTy Bracken Aller
GenderMale
SpecialityMarriage & Family Therapist
Location545 W 465 N Ste 130, Providence, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386119600
  • Provider Enumeration Date: 10/13/2018
  • Last Update Date: 10/29/2018

Medical Identifiers

Medical identifiers for Ty Bracken Aller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386119600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 9560142-3902 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ty Bracken Aller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ty Bracken Aller,
Po Box 583,
Providence, UT 84332-0583

Ph: () -
Ty Bracken Aller,
545 W 465 N Ste 130,
Providence, UT 84332-8005

Ph: (385) 200-3993

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› Verified 2 days ago


Marriage & Family Therapist in Providence, UT

Emily O'dell,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 517 W 100 N Ste 110, Providence, UT 84332
Phone: 435-755-6061    
Rylan Hellstern,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 517 W 100 N Ste 110, Providence, UT 84332
Phone: 435-755-6061    
Troy Benallie,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 517 W 100 N Ste 110, Providence, UT 84332
Phone: 435-755-6061    
Daniel Griffin Fast,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 517 W 100 N Ste 110, Providence, UT 84332
Phone: 435-755-6061    Fax: 435-994-8362

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