Organization
CONCORDIA FAMILIES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PHILLIP SCOVILLE MS LMFT (OWNER)
(801) 709-1785
Entity
Organization
Contact information
Practice address
3507 N UNIVERSITY AVE STE 350, PROVO, UT 84604-6602
(385) 309-1068
Mailing address
3507 N UNIVERSITY AVE STE 350, PROVO, UT 84604-6602
(385) 309-1068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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