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Ty B. Aller, Lmft, Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Providence, Utah
NPI 1164999835

Ty B. Aller, Lmft, Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Providence, UT and is specialized in Mental Health (Including Community Mental Health Center). Ty B. Aller, Lmft, Pllc practices in Providence, UT. The NPI Number for Ty B. Aller, Lmft, Pllc is 1164999835 and holds a License No. (Utah).

The current practice location address for Ty B. Aller, Lmft, Pllc is 545 W 465 N Ste 130, Providence, UT and can be reached out via phone at 385-200-3993.

Location: 545 W 465 N Ste 130, Providence, UT, 84332-0583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164999835
Provider Name
Ty B. Aller, Lmft, Pllc
Credential
Provider Entity Type
Organization
Address
545 W 465 N Ste 130, Providence, UT, 84332-0583
Phone Number
385-200-3993
Fax Number
Provider Enumeration Date
10/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
545 W 465 N Ste 130
City
Providence
State
Utah
Zip
84332-8005
Phone Number
385-200-3993
Fax Number
person
Provider Business Mailing Address Details
Address
545 W 465 N Ste 130
City
Providence
State
Utah
Zip
84332-8005
Phone Number
385-200-3993
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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