MOLOKAI MARRIAGE & FAMILY THERAPY LLC (NPI# 1033612072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033612072 |
| Entity Type | Organization |
| Organization Name | MOLOKAI MARRIAGE & FAMILY THERAPY LLC |
| Practice Address |
503 W 2600 S Ste 200 Bountiful UT 84010-7717 |
| Mailing Address |
1125 W 1185 N Farmington UT 84025-2814 |
| Practice Telephone | 8015296029 |
| Mailing Telephone | 4067623237 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-02-29 |
| Authorized Official Name | MRS. ANGELA HINKLE (OWNER) |
| Authorized Official Telephone | 8015296029 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1125 W 1185 N, Farmington, UT 840252814 | 4067623237 |
| Street Address |
503 W 2600 S STE 200 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-7717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407082787 | Broadway Investments LLC | Hospice Care, Community Based | 503 W 2600 S Ste 200, Bountiful, UT 84010-7717 | 2009-06-01 |
| 1952915084 | Salt City Mental Health Inc. | Counselor | 503 W 2600 S Ste 200, Bountiful, UT 84010-7717 | 2020-09-05 |
| 1033463765 | Angela L Hinkle | Marriage & Family Therapist | 503 W 2600 S Ste 200, Bountiful, UT 84010-7717 | 2012-11-02 |
| 1558627273 | Tlc Hospice | Hospice Care, Community Based | 503 W 2600 S Ste 200, Bountiful, UT 84010-7717 | 2012-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407394927 | Wellsprings LLC | Clinic/Center | 425 Medical Dr, Bountiful, UT 84010-4945 | 2017-02-03 |
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|---|---|---|---|---|
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| 1447899570 | First Choice Healing LLC | Clinic/Center | 1045 S Orem Blvd, Orem, UT 84058-6979 | 2020-01-06 |
| 1144868100 | Vive Care, LLC | Clinic/Center | 120 W 1470 S Ste A, Saint George, UT 84770-6798 | 2019-12-20 |
| 1851939250 | Imagine Counseling Services | Clinic/Center | 5663 S Redwood Rd Unit 2, Taylorsville, UT 84123-5449 | 2019-12-16 |
| 1811548589 | Insaneability | Clinic/Center | 2013 E Fielding Hill Ln, Draper, UT 84020-2505 | 2019-09-24 |
| 1083264907 | Hobble Creek Behavoral Health | Clinic/Center | 1291 Expressway Ln # L, Spanish Fork, UT 84660-1333 | 2019-09-12 |
| 1407403983 | Haven Recovery LLC | Clinic/Center | 1474 W 2100 N, Pleasant Grove, UT 84062-9508 | 2019-08-20 |
| 1386299287 | Intermountain Counseling Center | Clinic/Center | 35 N Main Street, Suite 200 B, Spring City, UT 84662 | 2019-08-07 |
| 1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
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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.