Expansive Horizons Counseling & Psychological Services, LLC
Organization Active NPI Mental Health Counselor · Kamas, UT
NPI 1922550136 · NPPES record last updated Nov 4, 2016
Key facts
- NPI
- 1922550136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 8493271-6004 (UT)
- Legal business name
- EXPANSIVE HORIZONS COUNSELING & PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 228 West 200 South
Suite 2E
Kamas, UT 84036 - Phone
- (801) 360-6955
- NPI assigned
- Nov 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Liza Sanderson, PSYD
- Title
- President
- Phone
- (801) 360-6955
Practitioners 4
-
Janell L Jones, CMHC
National Provider Directory
Locations
228 W 200 S
Ste 2E
Kamas, UT 84036
Phone (801) 360-6955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 8493271-6004 | UT | Yes |
| Community/Behavioral Health Agency | 251S00000X | 8493271-6004 | UT |
Addresses
Primary practice location
228 West 200 South
Suite 2E
Kamas, UT 84036
Mailing address
596 Ash Court
Kamas, UT 84036
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447584511 | Medicaid | UT |
Other providers in Kamas, UT
- Michael Charles Darder
- Shauna Albrecht Demars
- Donald Wain Allen
- E2Vate, LLC
- Pepper Elliot
- Dynna Farr
- Jed Lamar Frazier
- Gateway Dentistry-Accelerate LLC
- Jenny Gempeler
- Patrick Joseph Gooley
All providers in Kamas, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2016. 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.