Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Utah Lakes Neuroscience Mental Health Center PLLC

Organization Clinical Social Worker · NPI 1609404813

Utah Lakes Neuroscience Mental Health Center PLLC provides Clinical Social Worker services in Provo, Utah. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3549 N University Ave Ste 200
Provo, UT 84604-4417
Phone: (385) 265-2484
Fax: (877) 894-5104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609404813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liliana Roney — Owner · (385) 265-2484
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020
Mailing address223 W Cougar Blvd # 704, Provo, UT 84604-2546

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