SUNDANCE CANYON INC (NPI# 1447643887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447643887 |
Entity Type | Organization |
Organization Name | SUNDANCE CANYON INC |
Other Organization Name | SUNDANCE CANYON TREATMENT |
Practice Address |
6948 W Dusty Rose Cir Herriman UT 84096-4710 |
Practice Telephone | 8014466206 |
Practice Fax Number | 8017635758 |
Mailing Telephone | 8014466206 |
Mailing Fax Number | 8017635758 |
Enumeration Date | 2015-03-10 |
Last Update Date | 2015-03-10 |
Authorized Official Name | MRS. SHERI HOOPER (OFFICE MANAGER) |
Authorized Official Telephone | 8014736606 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sundance Canyon Treatment | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366879793 | Sundance Canyon Inc | Substance Abuse Rehabilitation Facility | 182 N 775 E, American Fork, UT 84003-2068 | 2013-09-30 |
Street Address |
6948 W DUSTY ROSE CIR |
City | HERRIMAN |
State | UT |
Zip Code | 84096-4710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891209490 | Sundance Canyon Treatment | Clinic/Center | 6948 W Dusty Rose Cir, Herriman, UT 84096-4710 | 2017-11-20 |
1144692435 | Nicholas Burt | Marriage & Family Therapist | 6948 W Dusty Rose Cir, Herriman, UT 84096-4710 | 2015-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
Find all providers in zip 84096 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891209490 | Sundance Canyon Treatment | Clinic/Center | 6948 W Dusty Rose Cir, Herriman, UT 84096-4710 | 2017-11-20 |
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---|---|---|---|---|
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1114404704 | Monuments Academy LLC | Clinic/Center | 1990 Dry Lakes Road, Brian Head, UT 84719 | 2018-07-26 |
1033606298 | Imperial Healing Estate | Clinic/Center | 4194 Imperial Way, Provo, UT 84604-5328 | 2018-04-13 |
1184133571 | Connected Life Counseling Center, LLC | Clinic/Center | 741 E 9000 S Ste 200d, Sandy, UT 84094-3085 | 2017-09-28 |
1790229185 | Rise Above Treatment Center | Clinic/Center | 1039 S Orem Blvd, Orem, UT 84058-6979 | 2016-12-05 |
1699220764 | Purple Sky Counseling, Pllc | Clinic/Center | 450 W 910 S Ste 12, Heber City, UT 84032-2447 | 2016-08-18 |
1164898409 | Joseph K Yau Md LLC | Clinic/Center | 2215 E High Ridge Ln, Sandy, UT 84092-4860 | 2015-08-20 |
1740686252 | Bridging Resilience Counseling Services | Clinic/Center | 774 E 2100 S Ste 101, Salt Lake City, UT 84106-1863 | 2014-11-10 |
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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.