| Institute for Self-determined Relationships, PLLC | |
|
1452 E 820 N Uppr Level Orem UT 84097-5481 | |
| (801) 648-9664 | |
| Not Available |
| Full Name | Institute for Self-determined Relationships, PLLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1452 E 820 N Uppr Level, Orem, Utah |
| Authorized Official Name and Position | Brady C Eisert (OWNER) |
| Authorized Official Contact | 8016489664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute for Self-determined Relationships, PLLC 1452 E 820 N Uppr Level Orem UT 84097-5481 | Institute for Self-determined Relationships, PLLC 1452 E 820 N Uppr Level Orem UT 84097-5481 Ph: (801) 648-9664 |
| NPI Number | 1790630325 |
|---|---|
| Provider Enumeration Date | 02/27/2026 |
| Last Update Date | 02/27/2026 |
| Certification Date | 02/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790630325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| 106H00000X | Marriage & Family Therapist | () | Secondary |
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