Meridian Mentoring

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

MERIDIAN MENTORING

Practice address

635 South Main St.
Orangeville, UT 84537

Phone

(801) 793-0976

NPI assigned

Oct 31, 2016

Last updated

Oct 31, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

McKette H. Allred, J.D.

Title

Ceo/Owner

Phone

(801) 793-0976

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1023560679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1263",
            "city": "HUNTINGTON",
            "state": "UT",
            "postal_code": "845281263",
            "telephone_number": "801-793-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 SOUTH MAIN ST.",
            "city": "ORANGEVILLE",
            "state": "UT",
            "postal_code": "84537",
            "telephone_number": "801-793-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MENTORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "MCKETTE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "801-793-0976",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Cook, RDN
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• Amy Rasmussen Bell, LCSW
• RWN Services, LLC
• Camrey Dawn Tuttle

• Emotionally Disturbed Childrens' Residential Treatment Facility in Orangeville, UT
• Providers in Orangeville, UT by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.