STEPHANIE PACKER
NPI 1629885058
Counselor - Mental Health in Provo, UT
Active since December 18, 2024
About Stephanie Packer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE PACKER (NPI 1629885058) is an individual mental health provider in Provo, Utah, licensed in Utah (14114005-6009) and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1629885058
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE PACKER
Location Address1053 W 1020 SProvo, UT 84601-5656
Mailing Address9300 S Redwood Rd Apt 2110West Jordan, UT 84088-6665 · (385) 867-8215
Phone(801) 810-1234
Sole ProprietorNo
Enumeration DateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1629885058 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 14114005-6009
1053 W 1020 S, Provo, UT 84601
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Skilled Nursing Facility
1053 W 1020 S
PROVO, UT 84601
PROVO, UT 84601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629885058, enumerated as an "individual" on December 18, 2024.
The provider is located at 1053 W 1020 S PROVO, UT 84601 and the phone number is (801) 810-1234.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
