Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Ranch Outpatient Services

Organization Counselor · NPI 1235682345

Eagle Ranch Outpatient Services is a Counselor in St George, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016
Specialties on file
4

Practice location Address checks out

91 W 1470 S Ste 101
St George, UT 84770-6709
Phone: (435) 922-0440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 5360626 3904 (UT)
Counselor Taxonomy 101Y00000X · Licence 53606263904 (UT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 53606266006 (UT)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 53606263904 (UT)

Record details

NPI number1235682345
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEagle Ranch Academy
Authorized official Kelly Bawden — Therapist/Director · (435) 922-0440
NPI enumeratedJuly 26, 2016
Last updated in NPPESJuly 26, 2016
Mailing address91 W 1470 S, Suite 101, St George, UT 84770-6709

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