SALT LAKE COUNTY YOUTH SERVICES


Address: 177 W Price Ave, Salt Lake City, UT 84115-4345
Phone: 3854684500

SALT LAKE COUNTY YOUTH SERVICES (NPI# 1639589344) 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) 1639589344
Entity Type Organization
Organization Name SALT LAKE COUNTY YOUTH SERVICES
Practice Address 177 W Price Ave
Salt Lake City
UT 84115-4345
Practice Telephone 3854684500
Practice Fax Number 3854684461
Mailing Telephone 3854684500
Mailing Fax Number 3854684461
Enumeration Date 2014-05-02
Last Update Date 2014-05-02
Authorized Official Name DEBBIE OSBORNE (COUNSELING SERVICES COORDINATOR)
Authorized Official Telephone 3854684519
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness 1558665026 UT Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
UT 1558665026 05

Office Location

Street Address 177 W PRICE AVE
City SALT LAKE CITY
State UT
Zip Code 84115-4345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275837288 Morgan Vern Snow Social Worker 177 W Price Ave, Salt Lake City, UT 84115-4345 2011-01-05
1114552726 Brandi Sandoval Counselor 177 W Price Ave, Salt Lake City, UT 84115-4345 2020-03-04
1568926186 Timothy Andrew Aragon Social Worker 177 W Price Ave, Salt Lake City, UT 84115-4345 2019-01-28
1538666102 Caitlin Adams Social Worker 177 W Price Ave, Salt Lake City, UT 84115-4345 2018-04-10
1407300379 Drew Barton Social Worker 177 W Price Ave, Salt Lake City, UT 84115-4345 2016-08-09
1407254261 Salt Lake County Division of Youth Services Community/Behavioral Health 177 W Price Ave, Salt Lake City, UT 84115-4345 2014-12-10
1407263528 Sam Huppi Social Worker 177 W Price Ave, Salt Lake City, UT 84115-4345 2014-07-21
1235558180 Mary Gully Case Management 177 W Price Ave, Salt Lake City, UT 84115-4345 2014-04-08
1104268440 Maria Laura Drummond Specialist 177 W Price Ave, Salt Lake City, UT 84115-4345 2013-07-29
1336584085 Satl Lake County Case Manager/Care Coordinator 177 W Price Ave, Salt Lake City, UT 84115-4345 2013-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396344198 Shannon Ballinger Clinic/Center 1470 400 W, Salt Lake City, UT 84115 2020-10-22
1992346704 Anicka Inc Clinic/Center 3195 South Main St, Ste 260, South Salt Lake, UT 84115 2019-10-02
1083177505 Vitor Gabriel Giuliani Alcantara Carioca Specialist/Technologist 1850 South Campus Drive, Salt Lake City, UT 84115 2019-04-11
1427528371 Samuel James Leonhart Behavior Technician 354 East Coatsville Drive, Salt Lake City, UT 84115 2018-12-04
1093228645 Eco Pharmacy LLC Pharmacy 3702 S State Street Suite 115, South Salt Lake City, UT 84115 2017-11-06
1568973055 Eco Apothecary LLC Pharmacy 3701 S State Street Suite 114, South Salt Lake City, UT 84115 2017-10-24
1548780455 Kelly Lund Case Manager/Care Coordinator 447 W. Bearcat Dr., Salt Lake City, UT 84115 2017-06-21
1104271238 The Church of Philadelphia Inc. Community/Behavioral Health 2358 South Main Street, Salt Lake City, UT 84115 2016-04-26
1710368626 Jennifer Swanhild Edwards Counselor 140 W 2100 S Ste 244, Salt Lake City, UT 84115 2015-06-16
1508247065 John Mcguire Health Educator 1370 S. West Temple, Salt Lake City, UT 84115 2015-06-10
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427425859 Gateway Academy, LLC Community Based Residential Treatment Facility, Mental Illness 2487 S 700 E, Salt Lake City, UT 84106-1722 2015-09-02
1073866695 University Neuropsychiatric Institute Community Based Residential Treatment Facility, Mental Illness 252 South 500 East, Salt Lake City, UT 84103 2012-10-19
1477576684 New Life Centers, LLC Community Based Residential Treatment Facility, Mental Illness 1255 E 3900 S, Salt Lake City, UT 84124-1334 2006-07-26
1003151416 Allyson Evans Community Based Residential Treatment Facility, Mental Illness 252 S 500 E, Salt Lake City, UT 84102-2030 2012-12-11
1467717918 Valley Mental Health Community Based Residential Treatment Facility, Mental Illness 3944 S 400 E, Salt Lake City, UT 84107-1600 2012-07-11
1427330968 Eva Carlston Academy Community Based Residential Treatment Facility, Mental Illness 4943 Wasatch Blvd, Salt Lake City, UT 84124-4798 2011-09-11
1770889255 Cornerstone Counseling Community Based Residential Treatment Facility, Mental Illness 660 S 200 E, Salt Lake City, UT 84111-3835 2011-02-01
1124139654 Ensign Peak Services Inc. Community Based Residential Treatment Facility, Mental Illness 2880 W 4700 S, Suite B, Salt Lake City, UT 84118-2156 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144872516 Davis Behavioral Health Inc Community Based Residential Treatment Facility, Mental Illness 2250 N Robins Dr, Layton, UT 84041-1140 2019-07-15
1710444245 New Focus Academy Community Based Residential Treatment Facility, Mental Illness 1268 N Valley Heights Cir, Heber City, UT 84032-4591 2019-02-20
1871066365 Sundance Canyon East Community Based Residential Treatment Facility, Mental Illness 11457 S 700 W, Draper, UT 84020-9426 2019-01-07
1508307083 Jennifer Carlson Community Based Residential Treatment Facility, Mental Illness 8375 South 700east, Sandy, UT 84070 2017-03-16
1932646148 Canyon River Ranch Community Based Residential Treatment Facility, Mental Illness 244 Ogden Cyn, Ogden, UT 84401-0958 2017-01-25
1629513833 Telos Community Based Residential Treatment Facility, Mental Illness 661 S 1200 W, Orem, UT 84058-5817 2016-12-23
1982150256 Sequel Youth Services of Falcon Ridge Ranch Community Based Residential Treatment Facility, Mental Illness 633 East Highway, Virgin, UT 84779 2016-08-28
1073069340 Sequel Youth Services of Mt. Pleasant Community Based Residential Treatment Facility, Mental Illness 1100 South 70 West, Mt. Pleasant, UT 84647 2016-08-28
1942667597 Mosaic House- Certs Community Based Residential Treatment Facility, Mental Illness 1488 E Vine St, Murray, UT 84121-1958 2016-01-26
1366863185 Pine Ridge Behavioral Health LLC Community Based Residential Treatment Facility, Mental Illness 10380 East 22000 North, Fairview, UT 84629 2013-12-20
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Competitor

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City SALT LAKE CITY
Zip Code 84115

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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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