Eagle Ranch Outpatient Services
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 101St George, UT 84770-6709
Phone: (435) 922-0440
Show map & directions
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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 number | 1235682345 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Eagle Ranch Academy |
| Authorized official | Kelly Bawden — Therapist/Director · (435) 922-0440 |
| NPI enumerated | July 26, 2016 |
| Last updated in NPPES | July 26, 2016 |
| Mailing address | 91 W 1470 S, Suite 101, St George, UT 84770-6709 |
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