SOULEGRIA LLC (NPI# 1225648199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225648199 |
| Entity Type | Organization |
| Organization Name | SOULEGRIA LLC |
| Practice Address |
50 S State St La Verkin UT 84745-5443 |
| Practice Telephone | 8007920435 |
| Mailing Telephone | 8007920435 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | TYLER OLSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8012856100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Soulegria Leadership Ranch | Doing Business As Name - Organization |
| Street Address |
50 S STATE ST |
| City | LA VERKIN |
| State | UT |
| Zip Code | 84745-5443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780900464 | Cross Creek Manor | Residential Treatment Facility, Emotionally Disturbed Children | 50 S State St, La Verkin, UT 84745-5443 | 2010-04-20 |
| 1235625385 | Carevoy LLC | Day Training, Developmentally Disabled Services | 50 S State St, La Verkin, UT 84745-5443 | 2018-07-02 |
| 1114457843 | Carevoy LLC | Marriage & Family Therapist | 50 S State St, La Verkin, UT 84745-5443 | 2017-06-15 |
| 1639513278 | Courtney Taylor Lyman | Counselor | 50 S State St, La Verkin, UT 84745-5443 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841766201 | Taylor Lyman Beatty | Nurse Practitioner | 819 N 370 W, La Verkin, UT 84745-5063 | 2018-10-23 |
| 1457450843 | Clifford E Holt | Pharmacist | 495 N State St, La Verkin, UT 84745-5124 | 2006-09-21 |
| 1558605816 | Davis/burkett Food Corp | Pharmacy | 495 N State St, La Verkin, UT 84745-5124 | 2012-11-26 |
| 1366573461 | Market Pharmacy | Pharmacy | 495 N State St, La Verkin, UT 84745-5124 | 2007-03-08 |
| 1326217704 | Timandra E. Fawson | Marriage & Family Therapist | 173 N 250 W, La Verkin, UT 84745-5236 | 2008-02-29 |
| 1750634382 | Youth Foundations | Residential Treatment Facility, Emotionally Disturbed Children | 150 N State St, La Verkin, UT 84745-5503 | 2012-10-19 |
| 1083730725 | Kenneth Lee Seely | Psychologist | 150 N State St, La Verkin, UT 84745-5503 | 2007-03-22 |
| 1356476873 | Cross Creek Manor, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 150 N State St, La Verkin, UT 84745-5503 | 2007-02-23 |
| 1609980739 | Hugh J Howard | Dentist | 144 S State St, La Verkin, UT 84745-5600 | 2006-08-18 |
| 1285113472 | North Star Center, LLC. | Clinic/Center | 254 S State St Bldg A, La Verkin, UT 84745-5633 | 2018-08-09 |
| Find all providers in zip 84745 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649819020 | Topaz Counseling Pllc | Clinic/Center | 520 Topaz Blvd Ste 203d, Delta, UT 84624-4103 | 2020-01-02 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1871145227 | Pinyon Pine Counseling | Clinic/Center | 1240 E 100 S Bldg 23, Saint George, UT 84790-3001 | 2019-07-15 |
| 1225590755 | Amy Henderson Lcsw LLC | Clinic/Center | 4055 S 700 E Ste 102a, Salt Lake City, UT 84107-2174 | 2019-04-03 |
| 1205314747 | North Star Counseling Services | Clinic/Center | 298 24th St Ste 204, Ogden, UT 84401-1870 | 2018-08-06 |
| 1194223867 | Cottonwood Behavioral Counseling LLC | Clinic/Center | 6337 S Highland Dr # 227 Suite 227, Salt Lake City, UT 84121-8558 | 2018-01-29 |
| 1174021281 | Insight Recovery Cedar City LLC | Clinic/Center | 535 S Main St Ste 2, Cedar City, UT 84720-3576 | 2018-01-24 |
| 1265941702 | Silver Creek Psychiatry | Clinic/Center | 1480 E 820 N, Orem, UT 84097-5481 | 2017-09-27 |
| 1336533348 | Salt Lake Weight Counseling | Clinic/Center | 7105 S. Highland Dr. Ste 202, Salt Lake City, UT 84121 | 2015-03-27 |
| 1942690656 | Hughes Therapy 1 | Clinic/Center | 3585 N University Ave Ste 350, Provo, UT 84604-6608 | 2015-02-02 |
| 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.