Provider Type Icon

SUNDANCE CANYON TREATMENT NPI 1891209490


NPI Information

NPI: 1891209490
Provider Name: SUNDANCE CANYON TREATMENT
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 46D2064224

Address:
6948 W DUSTY ROSE CIR
HERRIMAN, UT
ZIP 84096
Phone: (801) 473-6606
Get Directions

SUNDANCE CANYON TREATMENT is an adolescent and children mental health clinic center in Herriman, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. SUNDANCE CANYON TREATMENT NPI is 1891209490. The provider is registered as an organization entity type.

The provider's business location address is:

6948 W DUSTY ROSE CIR
HERRIMAN, UT
ZIP 84096-710
Phone: (801) 473-6606
Fax: (801) 763-5758

The provider's authorized official is Sheri Hooper .
The authorized official title is Financial Director and has the following contact phone number (801) 473-6606.

The CLIA number assigned to this NPI record is 46D2064224 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 11/20/2017.


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
1261QM0855XClinic/CenterAdolescent and Children Mental Health52530UTAHYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.