NPI 1235682345

Eagle Ranch Outpatient Services

Organisation Community/Behavioral Health Agency St George, UT

Practice location

Address: 91 W 1470 S Suite 101, St George, UT 84770-6709
Phone: (435) 922-0440

Authorised official

Name: Kelly Bawden
Title: Therapist/Director
Phone: (435) 922-0440

Registered specialties (4)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 5360626 3904 (UT)

Other Community/Behavioral Health providers in Utah →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 53606263904 (UT)

Other Counselor providers in Utah →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 53606266006 (UT)

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 53606263904 (UT)

Other Marriage & Family Therapist providers in Utah →

Registry record

NPI: 1235682345
Entity type: Organization
NPI issued: 26 Jul 2016
Record last updated: 26 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.