Envision Recovery Services Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

11826 Issued in UT

Legal business name

ENVISION RECOVERY SERVICES INC

Practice address

5897 W Round Rock Dr
Herriman, UT 84096-8202

Phone

(801) 755-6112

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jolynn L Oliver

Title

Owner

Phone

(801) 755-6112

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1376900209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5897 W ROUND ROCK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840968202",
            "telephone_number": "801-755-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5897 W ROUND ROCK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840968202",
            "telephone_number": "801-755-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION RECOVERY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JOLYNN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-755-6112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "11826",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "16694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treas Eddleman, LCSW
• Amber Marie Edelman
• Marian Egbert Ashcroft, SUDC BHT
• Andrea Megan Eliason, RBT
• Ashlie M Ellingford
• Kurt Ericksen, DMD
• Douglas N Esplin, MD
• Courtney Evans
• Dionne Peck Evans
• Andrea M Ewert, PTA

• Substance Use Disorder Rehabilitation Clinic/Center in Herriman, UT
• Providers in Herriman, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.