Organization
INSTITUTE FOR SELF-DETERMINED RELATIONSHIPS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY C EISERT LMFT (OWNER)
(801) 648-9664
Entity
Organization
Contact information
Practice address
1452 E 820 N UPPR LEVEL, OREM, UT 84097-5481
(801) 648-9664
Mailing address
1452 E 820 N UPPR LEVEL, OREM, UT 84097-5481
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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