Ebh Southwest Services, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

EBH SOUTHWEST SERVICES, INC.

Doing business as

Journey at Willowcreek

Practice address

8072 S Highland Dr
Salt Lake City, UT 84121-5037

Phone

(801) 967-7664

NPI assigned

Jan 2, 2014

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ELEMENTS BEHAVIORAL HEALTH, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Cheryl Maplesden, CPC, CHC, CHPC

Title

Director of Revenue Cycle

Phone

(615) 510-3708

Specialties & licenses 1

Addresses

Other names 1

• Journey at Willowcreek Doing business as

Tax ID family

Ebh Southwest Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ebh Southwest Services, Inc.

  dba Promises Scottsdale

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1629499165
  NPD tax ID
• Ebh Southwest Services, Inc.

  dba Promises Scottsdale

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
  • NPI 1780005033
  NPD tax ID

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1144641564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670595",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670595",
            "telephone_number": "615-567-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8072 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215037",
            "telephone_number": "801-967-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBH SOUTHWEST SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENTS BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2014-01-02",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey at Willowcreek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynnell Eaves, CSW
• Spencer Walker Eberhard, DO
• Amy Ebert
• Mark Douglas Ebert, MD
• Sueellen Ebertz, MSW CSW
• Shana K. Eborn, MD
• Mark Leon Ebrahim, MD
• Dominic Jon Echeverria, OT
• Jocelyn Echeverria
• Ted Martin Echols

• Substance Abuse Rehabilitation Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.