| NPI | 1891036497 |
|---|---|
| Doing Business As | THETA WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KENDRA A. BERNAL Office Manager 801-852-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker Clinical | |
| 111N00000X Chiropractor | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 163WC0400X Registered Nurse Case Management | |
| 164W00000X Licensed Practical Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 175L00000X Homeopath | |
| 246RP1900X Technician, Pathology Phlebotomy | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |