Equine Journeys, LLC
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Loa, UT
NPI 1700168374 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1700168374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- 18393 (UT)
- Legal business name
- EQUINE JOURNEYS, LLC
- Practice address
- 14 North Main Street
Loa, UT 84747 - Phone
- (435) 836-2535
- Fax
- (435) 836-2537
- NPI assigned
- Sep 9, 2011
- Organization subpart
- No
Authorized official
- Name
- Brandon M Burr, LCSW
- Title
- Clinical Director
- Phone
- (435) 836-2535
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 18393 | UT | Yes |
Addresses
Primary practice location
14 North Main Street
Loa, UT 84747
Mailing address
PO Box 69
Loa, UT 84747-0069
Phone (435) 836-2535
Other providers in Loa, UT
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- Colleen Chappell
- Raylynne J Cooper
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- Derek J Daley
- Christyn Gerber
- Ashlie Marie Harris
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- Stephen Kern
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All providers in Loa, UT · Emotionally Disturbed Childrens' Residential Treatment Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.