Full Name | Xlr8 Therapy |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1509 N 2100 W, Provo, Utah |
Authorized Official Name and Position | Nathan Pond (OWNER) |
Authorized Official Contact | 8014008510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Xlr8 Therapy 1509 N 2100 W Provo UT 84604-2205 Ph: (801) 400-8510 | Xlr8 Therapy 1509 N 2100 W Provo UT 84604-2205 Ph: (801) 400-8510 |
NPI Number | 1023533924 |
---|---|
Provider Enumeration Date | 08/11/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023533924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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