Clinic/Center, Adolescent and Children Mental Health
TRAUMA CENTER OF UTAH, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295207231 · enumerated 2018-12-31 · record updated 2018-12-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TONYA PORTER LMHC, Clinical Director · (801) 851-5504
Addresses and phones
- Mailing address 4980 N UNIVERSITY AVE APT 12, PROVO, UT, 84604-6444 (801) 644-4014 Google Maps Apple Maps OpenStreetMap
- Practice location 4980 N UNIVERSITY AVE APT 12, PROVO, UT, 84604-6444 (801) 644-4014 Google Maps Apple Maps OpenStreetMap
Specialties
- Counselor, Addiction (Substance Use Disorder) 101YA0400X
- Counselor, Mental Health 101YM0800X
- Psychiatry & Neurology, Addiction Medicine 2084A0401X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X
- Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X
- Clinic/Center, Adult Mental Health 261QM0850X
- Clinic/Center, Adolescent and Children Mental Health 261QM0855X · Primary
In this directory
UT Utah County Provo Clinic/Center, Adolescent and Children Mental Health
Locations and evidence
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Practice location
PROVO, UT, 846046444
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.