ADOLESCENT LIFE CHOICES (NPI# 1235444787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235444787 |
| Entity Type | Organization |
| Organization Name | ADOLESCENT LIFE CHOICES |
| Other Organization Name | VISION QUEST ACADEMY |
| Practice Address |
467 N. 300 W. Cedar City UT 84721 |
| Mailing Address |
Po Box 2949 Cedar City UT 84721-2949 |
| Practice Telephone | 4358674445 |
| Practice Fax Number | 4358674445 |
| Mailing Telephone | 4358674445 |
| Mailing Fax Number | 4358674449 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |
| Authorized Official Name | DR. KENNETH LEE SEELY (PRESIDENT) |
| Authorized Official Telephone | 4358674445 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Vision Quest Academy | Doing Business As Name - Organization |
| Street Address |
467 N. 300 W. |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496189 | Heather Kirchmeier | Registered Nurse | 260 E D.l. Sargent Drive, Cedar City, UT 84721 | 2019-06-13 |
| 1245794080 | Enoch Dental Care, LLC | Clinic/Center | 850 East Midvalley Rd, Enoch, UT 84721 | 2019-01-25 |
| 1619459054 | Eulalia Marie Hall | Nurse Practitioner | 1303 N. Main St, Cedar City, UT 84721 | 2018-09-01 |
| 1922559285 | Renewed Hope Ranch, LLC | Community/Behavioral Health | 425 East 6000 North, Enoch, UT 84721 | 2016-10-20 |
| 1215480629 | Kyle Thomas | Counselor | 1870 N. Main Ste 102, Cedar City, UT 84721 | 2016-08-02 |
| 1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
| 1851700736 | Jason Arch | Chiropractor | 476 E Midvalley Rd, Cedar City, UT 84721 | 2014-08-05 |
| 1902237183 | Virgil Eric Bonnett | Social Worker | 4921 North Bald Eagle Dr., Enoch, UT 84721 | 2013-12-12 |
| 1891065280 | Merry A. Kelly | Registered Nurse | 260 E Dl Sargent Drive, Cedar City, UT 84721 | 2012-01-03 |
| 1033347158 | Mark Willis Corry | Family Medicine | 1303 N Main St., Suite C, Cedar City, UT 84721 | 2009-06-26 |
| Find all providers in zip 84721 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508207630 | Discovery Ranch for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 4928 N 4500 W, Cedar City, UT 84721-5632 | 2013-07-17 |
| 1558499103 | Turning Point Family Care, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 121 N 1550 W, Cedar City, UT 84720-4136 | 2007-03-02 |
| 1972888246 | Jory Twitchell | Residential Treatment Facility, Emotionally Disturbed Children | 6484 N 2300 W, 6484 N. 2300 W., Cedar City, UT 84721-7102 | 2011-10-18 |
| 1164656815 | Moonridge Academy | Residential Treatment Facility, Emotionally Disturbed Children | 9450 W 2400 S, Cedar City, UT 84720-6706 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013167 | Elevated Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 10928 S Eureka Dune Dr, South Jordan, UT 84009-4173 | 2020-11-04 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1083107320 | Red Circle Lodge, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 930 N Memorial St, Hildale, UT 84784 | 2018-06-12 |
| 1023560679 | Meridian Mentoring | Residential Treatment Facility, Emotionally Disturbed Children | 635 South Main St., Orangeville, UT 84537 | 2016-10-31 |
| 1720456981 | Gateway Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 941 E Cattail Dr, Draper, UT 84020-8583 | 2015-09-04 |
| 1033592290 | Keystone Family Support, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2558 Valley View Dr, Layton, UT 84040-7654 | 2015-07-07 |
| 1285033977 | Utah Family Care LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 | 2014-08-19 |
| 1982011649 | Teen Discovery Home | Residential Treatment Facility, Emotionally Disturbed Children | 10 East 100 South, Gunnison, UT 84634 | 2014-07-15 |
| 1245663947 | South Pointe Youth | Residential Treatment Facility, Emotionally Disturbed Children | 1500 South 580 West, Manti, UT 84642-0314 | 2013-08-16 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CITY |
| Zip Code | 84721 |
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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.