Voyage RTC BLLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

VOYAGE RTC BLLC

Practice address

5545 S 1225 E
South Ogden, UT 84403-4522

Phone

(801) 820-0158

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Lawrence Merlin Bohne III

Title

Executive Director

Phone

(801) 820-0158

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeff A Lavallee

  • Marriage & Family Therapist
  • Ogden, UT
  • NPI 1457004749
  NPD (past)

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1265184923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 S 1225 E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034522",
            "telephone_number": "801-820-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 S 1225 E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034522",
            "telephone_number": "801-820-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOYAGE RTC BLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "BOHNE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MERLIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-820-0158",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Vigil
• Anne Gie Vitangcol, RBT
• Jonathan Voigt, MSW, LCSW
• Melissa Vono, M.S CCC SLP
• Nikole Maree Voorhees, RRT
• Lucas Waddoups
• Walgreen Co (Walgreens #15013)
• Walgreen Co (Walgreens #02527)
• Walmart Inc.
• Kimberly Ruth Walsh, PSY.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in South Ogden, UT
• Providers in South Ogden, 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 Jan 24, 2022; 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.