RENAISSANCE RANCH PORNOGRAPHY ADDICTION TREATMENT PROGRAM (NPI# 1780129445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780129445 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE RANCH PORNOGRAPHY ADDICTION TREATMENT PROGRAM |
| Practice Address |
9160 S 300 W Sandy UT 84070-2655 |
| Mailing Address |
2973 West 138000 South Bluffdale UT 84065 |
| Practice Telephone | 8018567836 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | WENDY PATTON (ADMINISTATIVE DIRECTOR) |
| Authorized Official Telephone | 8018567836 |
| Authorized Official Credential | LSUDC |
| Is Organization Subpart | Y |
| Parent Organization Name | AWAKENING BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
37087 | UT | Ambulatory Health Care Facilities |
| Street Address |
9160 S 300 W |
| City | SANDY |
| State | UT |
| Zip Code | 84070-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609000561 | Robert E Banta | Social Worker | 9160 S 300 W, Suite 22, Sandy, UT 84070-2655 | 2009-05-06 |
| 1326583089 | Renaissance Ranch Outpatient Sandy Women's Program | Clinic/Center | 9160 S 300 W, # 13, Sandy, UT 84070-2655 | 2017-01-04 |
| 1942600846 | Renassaince Ranch Outpatient | Substance Abuse Rehabilitation Facility | 9160 S 300 W, 13, Sandy, UT 84070-2655 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679062301 | Live for Life LLC | Clinic/Center | 9045 S 1300 E Ste 200, Sandy, UT 84094-3134 | 2018-05-08 |
| 1346883634 | Dream River Counseling LLC | Clinic/Center | 850 E 9400 S Ste 103, Sandy, UT 84094-4104 | 2019-10-20 |
| 1396235156 | Cottonwood Center for Counseling | Clinic/Center | 8728 S 120 E, Sandy, UT 84070-1526 | 2018-05-16 |
| 1376050237 | Agile Counseling | Clinic/Center | 45 W 9000 S Ste 1, Sandy, UT 84070-2047 | 2018-01-01 |
| 1114353570 | Pl Hansen Counseling Inc | Clinic/Center | 8184 S Highland Dr, Suite C-8, Sandy, UT 84093-6477 | 2013-09-17 |
| 1124313481 | Synergism Counseling, LLC | Clinic/Center | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2011-06-15 |
| 1720117914 | Wellspring Child and Family Counseling Center, LLC | Clinic/Center | 9678 S 700 E, Suite 102, Sandy, UT 84070-3592 | 2007-03-05 |
| 1669501219 | Wellspring Child and Family Counseling Center, LLC | Clinic/Center | 9678 S 700 E, Suite 102, Sandy, UT 84070-3592 | 2007-03-02 |
| 1659324572 | Lds Family Services | Clinic/Center | 625 E 8400 S, Sandy, UT 84070-0525 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810047 | Ora Counseling | Clinic/Center | 115 Golf Course Rd Ste A, Logan, UT 84321-5951 | 2020-10-28 |
| 1033744776 | Rising Summits | Clinic/Center | 11293 S Morning Tide Ln, South Jordan, UT 84009-5022 | 2020-03-03 |
| 1447899570 | First Choice Healing LLC | Clinic/Center | 1045 S Orem Blvd, Orem, UT 84058-6979 | 2020-01-06 |
| 1144868100 | Vive Care, LLC | Clinic/Center | 120 W 1470 S Ste A, Saint George, UT 84770-6798 | 2019-12-20 |
| 1851939250 | Imagine Counseling Services | Clinic/Center | 5663 S Redwood Rd Unit 2, Taylorsville, UT 84123-5449 | 2019-12-16 |
| 1811548589 | Insaneability | Clinic/Center | 2013 E Fielding Hill Ln, Draper, UT 84020-2505 | 2019-09-24 |
| 1083264907 | Hobble Creek Behavoral Health | Clinic/Center | 1291 Expressway Ln # L, Spanish Fork, UT 84660-1333 | 2019-09-12 |
| 1407403983 | Haven Recovery LLC | Clinic/Center | 1474 W 2100 N, Pleasant Grove, UT 84062-9508 | 2019-08-20 |
| 1386299287 | Intermountain Counseling Center | Clinic/Center | 35 N Main Street, Suite 200 B, Spring City, UT 84662 | 2019-08-07 |
| 1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
| 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.