SEGO LILY CENTER FOR THE ABUSED DEAF (NPI# 1003045667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003045667 |
Entity Type | Organization |
Organization Name | SEGO LILY CENTER FOR THE ABUSED DEAF |
Practice Address |
6526 S State St 404 Murray UT 84107-7261 |
Mailing Address |
Po Box 71279 Salt Lake City UT 84171-0279 |
Practice Telephone | 8883285486 |
Practice Fax Number | 8883285486 |
Mailing Telephone | 8883285486 |
Mailing Fax Number | 8883285486 |
Enumeration Date | 2009-07-03 |
Last Update Date | 2009-07-03 |
Authorized Official Name | JOENE FARRIS NICOLAISEN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8883285486 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 50526596004 | UT | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 251S00000X | 05 |
Street Address |
6526 S STATE ST 404 |
City | MURRAY |
State | UT |
Zip Code | 84107-7261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417052515 | Joene Farris Nicolaisen | Counselor | 6526 S State St, 404, Murray, UT 84107-7261 | 2006-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760037675 | Integrated Psychotherapy Services | Community/Behavioral Health | 6000 S Fashion Blvd Ste 211, Murray, UT 84107-5435 | 2019-08-07 |
1396118089 | True Life Treatment Center | Community/Behavioral Health | 5263 S Commerce Dr, Murray, UT 84107-4753 | 2015-11-04 |
1114334992 | The Utah Project, LLC | Community/Behavioral Health | 859 W Shadow Wood Dr, Murray, UT 84123-5581 | 2014-07-14 |
1245504265 | Compasspointe Wellness Center | Community/Behavioral Health | 689 W 5300 S, Murray, UT 84123-5671 | 2012-03-08 |
1831403302 | Smiling Faces LLC | Community/Behavioral Health | 507 S Cherry St, Murray, KY 42071-2639 | 2010-07-27 |
1568839504 | In Tune Counseling & Coaching, LLC | Community/Behavioral Health | 865 E 4800 S, 222, Murray, UT 84107-5043 | 2015-08-25 |
1699154047 | Family Counseling Center | Community/Behavioral Health | 5250 S Commerce Dr, Suite 250, Murray, UT 84107-7926 | 2015-05-19 |
1295164408 | Heart Smith Recovery | Community/Behavioral Health | 32 W Winchester St, 101, Murray, UT 84107-5607 | 2013-11-07 |
1528306446 | Lifestar Salt Lake, LLC | Community/Behavioral Health | 151 E 5600 S, #204, Murray, UT 84107-6181 | 2013-01-28 |
1114192127 | Family Focus Counseling | Community/Behavioral Health | 525 E 4500 S, F200, Murray, UT 84107-2995 | 2008-04-30 |
Find all providers in MURRAY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.