I Promise Foundation is a Psychology Clinic in Provo, Utah. It is located at 3521 N University Ave, Suite 225, Provo, UT and its contact number is 801-472-9780. The authorized person for I Promise Foundation is Kendra Bernal
who is Executive Director of the clinic and his/her contact number is 801-472-9780. The primary license number for I Promise Foundation is 19034 (Addiction (Substance Use Disorder)) in Utah. I Promise Foundation Clinic is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
I Promise Foundation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
I Promise Foundation
Specialization:
Psychology
Clinic Address:
3521 N University Ave, Suite 225, Provo, Utah, 84604-4418
Phone:
801-472-9780
Fax:
801-426-4615
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Kendra Bernal
Position:
Executive Director
Contact Number:
801-472-9780
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for I Promise Foundation clinic are as mentioned below.
NPI Number:
1144594003
NPI Enumeration Date:
23 Feb, 2012
NPI Last Update On:
23 Feb, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for I Promise Foundation are as mentioned below.
Specialization
License Number
State
Status
Addiction (Substance Use Disorder)
19034
Utah
Primary
Mental Health
19034
Utah
Secondary
Pastoral
19034
Utah
Secondary
Professional
19034
Utah
Secondary
School
19034
Utah
Secondary
Psychoanalyst
19034
Utah
Secondary
Addiction (Substance Use Disorder)
19034
Utah
Secondary
Cognitive & Behavioral
19034
Utah
Secondary
Counseling
19034
Utah
Secondary
Prescribing (Medical)
19034
Utah
Secondary
Group Psychotherapy
19034
Utah
Secondary
Clinical
19034
Utah
Secondary
Marriage & Family Therapist
19034
Utah
Secondary
Mental Health (Including Community Mental Health Center)
19034
Utah
Secondary
Adult Mental Health
19034
Utah
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
19034
Other
Utah
State Of Utah - Health & Human Services License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
I Promise Foundation 223 W Bulldog Blvd # 443, Provo, Utah
Zip:
84604-2546
Phone Number:
801-472-9780
Fax Number:
801-426-4615
Patients can reach I Promise Foundation at 3521 N University Ave, Suite 225, Provo, Utah or can call to book an appointment on 801-472-9780. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.