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Organization
THETA MANAGEMENT CORPORATION
Active
Organization
THETA MANAGEMENT CORPORATION
Active
Other names
Theta Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA A. BERNAL (OFFICE MANAGER)
(801) 852-1400
Entity
Organization
Contact information
Practice address
524 W 300 N, SUITE 102, PROVO, UT 84601-2667
(801) 852-1400
Mailing address
524 W 300 N, SUITE 102, PROVO, UT 84601-2667
(801) 852-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
UT
101YM0800X
Mental Health Counselor
—
UT
103T00000X
Psychologist
—
UT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
UT
1041C0700X
Clinical Social Worker
—
UT
111N00000X
Chiropractor
—
UT
133NN1002X
Nutrition Education Nutritionist
—
UT
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
UT
163WC0400X
Case Management Registered Nurse
—
UT
164W00000X
Licensed Practical Nurse
—
UT
171M00000X
Case Manager/Care Coordinator
—
UT
174H00000X
Health Educator
—
UT
175L00000X
Homeopath
—
UT
246RP1900X
Phlebotomy Technician
—
UT
363L00000X
Nurse Practitioner
Primary
—
UT
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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