# SERENITY RECOVERY AND WELLNESS OF PAYSON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255827416
- **Authorized official:** LYNDSEY PROCTOR LCSW (DIRECTOR)
- **Authorized official phone:** (801) 618-7331

## Contact information

- **Practice address:** 1868 N 1120 W, PROVO, UT 84604-1179
- **Practice address phone:** (801) 984-0184
- **Practice address fax:** (801) 984-0186
- **Mailing address:** 1868 N 1120 W, PROVO, UT 84604-1179
- **Mailing address phone:** (801) 984-0184
- **Mailing address fax:** (801) 984-0186

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 01/02/2020
