NPIMap

Organization Active NPI

Awakening Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • St George, UT
National Provider Identifier
1215736335
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
AWAKENING BEHAVIORAL HEALTH, LLC
Practice address
1239 W 4200 N
St George, UT 84770-5982
Phone
(801) 545-0406
NPI assigned
Mar 11, 2025
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Elizabeth Golesh
Title
Billing
Phone
(801) 304-3489

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

1239 W 4200 N
St George, UT 84770-5982

Mailing address

2973 W 13800 S
Bluffdale, UT 84065-8202

National Provider Directory

National Provider Directory
Tax ID family
Awakening Behavioral Health LLC3 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.

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1215736335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 W 13800 S",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840658202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 W 4200 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705982",
            "telephone_number": "801-545-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "GOLESH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "801-304-3489"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.