Provider Demographics
NPI:1346970415
Name:WENGREEN, BECKY BYTHEWAY (LMFT)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:BYTHEWAY
Last Name:WENGREEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 N FREEDOM BLVD STE 6A
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-2555
Mailing Address - Country:US
Mailing Address - Phone:435-200-1812
Mailing Address - Fax:
Practice Address - Street 1:1675 N FREEDOM BLVD STE 6A
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-2555
Practice Address - Country:US
Practice Address - Phone:435-200-1912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11043156-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist