ALLIANCE HOUSE INC (NPI# 1033585765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033585765 |
Entity Type | Organization |
Organization Name | ALLIANCE HOUSE INC |
Other Organization Name | ALLIANCE HOUSE |
Practice Address |
1724 S Main St Salt Lake City UT 84115-1912 |
Practice Telephone | 8014865012 |
Mailing Telephone | 8014865012 |
Enumeration Date | 2015-08-17 |
Last Update Date | 2020-04-22 |
Authorized Official Name | PAIGE HUFF (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8014865012 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 1033585765 | 05 |
Other Name | Type Code |
---|---|
Alliance House | Doing Business As Name - Organization |
Alliance House Inc | Doing Business As Name - Organization |
Street Address |
1724 S MAIN ST |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84115-1912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205812450 | Jeremy Lee Christensen | Social Worker | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2005-12-20 |
1265041255 | Robert Drayna | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2020-07-27 |
1477193597 | Michael Andrew Peck | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2020-01-07 |
1811554264 | Jarrod Gardner | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2019-05-21 |
1942793328 | Margaret Falcone | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
1487147765 | Kerry Splitt | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
1750874137 | Sarah Rebecca Dash | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
1558858407 | Eryn Wade | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-04-17 |
1114425071 | Maria Angelica Speed | Counselor | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-01-25 |
1104124882 | Amber Mackay | Counselor | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2011-03-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
Find all providers in zip 84115 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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1194223867 | Cottonwood Behavioral Counseling LLC | Clinic/Center | 6337 S Highland Dr # 227 Suite 227, Salt Lake City, UT 84121-8558 | 2018-01-29 |
1336533348 | Salt Lake Weight Counseling | Clinic/Center | 7105 S. Highland Dr. Ste 202, Salt Lake City, UT 84121 | 2015-03-27 |
1760576698 | Lds Family Services | Clinic/Center | 132 S State St Ste 100, Salt Lake City, UT 84111-1506 | 2006-10-03 |
1568084739 | Utah Zion Healing | Clinic/Center | 2870 E 3300 S, Salt Lake City, UT 84109-2821 | 2020-05-11 |
1467002253 | Audrey Maya Wadhwani | Clinic/Center | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2019-09-13 |
1922570266 | Ihc Health Services Inc | Clinic/Center | 324 E 10th Ave Ste 178, Salt Lake City, UT 84103-2885 | 2018-12-27 |
1881109544 | Jordan Rullo LLC | Clinic/Center | 1433 S 1100 E, Salt Lake City, UT 84105-2434 | 2017-12-04 |
1023461415 | Alpine Center for Personal Growth | Clinic/Center | 5689 S Redwood Rd, Suite 30, Salt Lake City, UT 84123-5447 | 2016-07-20 |
1528413531 | University of Utah Pediatric Behavioral Health Services | Clinic/Center | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-27 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84115 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.