Organization
REVISION TRAUMA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA E BAILEY MSW ,LCSW (LICENSED CLINICAL SOCIAL WORKER)
(385) 275-2733
Entity
Organization
Contact information
Practice address
1429 S 550 E STE 230, OREM, UT 84097-7798
(385) 275-2733
Mailing address
7533 S CENTER VIEW CT # 4758, WEST JORDAN, UT 84084-5526
(385) 275-2733
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
12/31/2025
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