# PODERA THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Podera Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053186825
- **Authorized official:** ROMAN LAWS (OWNER)
- **Authorized official phone:** (208) 244-1702

## Contact information

- **Practice address:** 8176 N OCONNELL LN, EAGLE MOUNTAIN, UT 84005-5813
- **Practice address phone:** (385) 351-5473
- **Mailing address:** PO BOX 174, CEDAR VALLEY, UT 84013-0174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2023
- **Last updated:** 11/27/2023