Queer Family Therapy, PLLC
NPI 1013809680 · Mental Health Clinic/Center (Including Community Mental Health Center) · Provo, UT
Queer Family Therapy, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Provo, UT (NPI 1013809680).
Provider details
- NPI number
- 1013809680
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lacey Bagley, Owner(509) 521-1536
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-17
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.