=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326938309
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALETHEIA COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2025
-----------------------------------------------------
Last Update Date | 07/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2230 N UNIVERSITY PKWY STE 9D
-----------------------------------------------------
City | PROVO
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84604-1595
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 385-442-9721
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1059 S 250 W APT B
-----------------------------------------------------
City | PROVO
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84601-5999
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 385-442-9721
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CMHC
-----------------------------------------------------
Name | BRYSON GARRETT LIND
-----------------------------------------------------
Credential | MA
-----------------------------------------------------
Telephone | 208-650-5261
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------