WHITE SAGE RECOVERY, INC.


Address: 533 W Center St, Pleasant Grove, UT 84062-2215
Phone: 8018992460

WHITE SAGE RECOVERY, INC. (NPI# 1124593108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124593108
Entity Type Organization
Organization Name WHITE SAGE RECOVERY, INC.
Practice Address 533 W Center St
Pleasant Grove
UT 84062-2215
Practice Telephone 8018992460
Practice Fax Number 8018992459
Mailing Telephone 8018992460
Mailing Fax Number 8018992459
Enumeration Date 2018-10-05
Last Update Date 2018-10-05
Authorized Official Name CATHERINE COLLINS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8018856341
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 533 W CENTER ST
City PLEASANT GROVE
State UT
Zip Code 84062-2215

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1861814493 Trent Edwards Case Manager/Care Coordinator 365 West 1420 North, Pleasant Grove, UT 84062 2014-01-16
1013342690 Michael M. Haderlie Psychologist 233 S. Pleasant Grove Blvd, Suite 203, Pleasant Grove, UT 84062 2013-09-13
1194157123 Brianna Lastre Nurse Practitioner 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 2013-08-01
1356619266 Melinda Buchanan-emery Marriage & Family Therapist 459 East 1000 South, Pleasant Grove, UT 84062 2011-12-06
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730456963 Willow Tree Recovery, LLC Substance Abuse Rehabilitation Facility 145 S 1300 W, Pleasant Grove, UT 84062-3580 2011-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063013886 Brc Wellness LLC Substance Abuse Rehabilitation Facility 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 2020-11-06
1891307104 Steps Recovery Center Substance Abuse Rehabilitation Facility 345 E 4500 S # 100-140, Murray, UT 84107-3991 2020-08-18
1104460666 Active Recovery, LLC Substance Abuse Rehabilitation Facility 25 S Main St # 212, Centerville, UT 84014-1840 2019-10-28
1437709441 Insight Recovery Cedar City, LLC Substance Abuse Rehabilitation Facility 1050 W Old Highway 91, Parowan, UT 84761-7725 2019-09-12
1316506470 Evnsq, LLC Substance Abuse Rehabilitation Facility 5162 S Highland Dr, Holladay, UT 84117-7048 2019-06-11
1114584356 Juniper Canyon Recovery Center for Women, LLC Substance Abuse Rehabilitation Facility 520 North Aspen Road, Loa, UT 84747-8474 2019-05-23
1750948030 Liberty Addiction Recovery Centers LLC Substance Abuse Rehabilitation Facility 10458 N 6570 W, Highland, UT 84003-9311 2019-05-22
1235793290 Mountain Valley Recovery LLC Substance Abuse Rehabilitation Facility 9431 N 400 W, Holden, UT 84636 2019-04-25
1346803525 Brookstone Foundation Substance Abuse Rehabilitation Facility 198 N 100 E # 198n100e, St George, UT 84770-2831 2019-04-15
1639649684 Sterling Recovery Substance Abuse Rehabilitation Facility 525 W 465 N Ste 130, Providence, UT 84332-5604 2018-12-03
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Competitor

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City PLEASANT GROVE
Zip Code 84062

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Dataset Information

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.

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