Individual
KAYLA ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(476) 080-1373
(817) 373-0639
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
12355694-6017
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60940944
WA
101YM0800X
Mental Health Counselor
12355694-6009
UT
101YM0800X
Mental Health Counselor
MC61080470
WA
101YP2500X
Professional Counselor
Primary
12355694-6009
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/23/2020
Last updated
04/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us