Healthcare Provider Details

I. General information

NPI: 1578420113
Provider Name (Legal Business Name): EMMA ALLEN, LMFT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 N FREEDOM BLVD
PROVO UT
84601-2824
US

IV. Provider business mailing address

534 N 360 W
VINEYARD UT
84059-4815
US

V. Phone/Fax

Practice location:
  • Phone: 619-354-6683
  • Fax:
Mailing address:
  • Phone: 760-224-3875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. EMMA ELIZABETH ALLEN
Title or Position: MEMBER
Credential: PHD
Phone: 760-224-3875