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EAGLE RANCH ACADEMY NPI 1386194751


NPI Information

NPI: 1386194751
Provider Name: EAGLE RANCH ACADEMY

Doing Business As: EAGLE RANCH OUTPATIENT SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
91 W 1470 S
SUITE 101
ST GEORGE, UT
ZIP 84770
Phone: (435) 652-8488
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EAGLE RANCH ACADEMY is a community behavioral health in St George, UT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EAGLE RANCH ACADEMY NPI is 1386194751. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eagle Ranch Outpatient Services.

The provider's business location address is:

91 W 1470 S
SUITE 101
ST GEORGE, UT
ZIP 84770-709
Phone: (435) 652-8488

The provider's authorized official is Kelly Bawden .
The authorized official title is Clinical Director and has the following contact phone number (435) 922-0440.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist53606263904UTAHNo
2251S00000XCommunity/Behavioral Health5360626 3904UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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