COLBY GANNON BACKMAN (NPI# 1063880839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063880839 |
| Entity Type | Individual |
| Full Name | COLBY GANNON BACKMAN |
| Credential | CMHC |
| Practice Address |
301 N 200 E Ste 2c St George UT 84770-3040 |
| Practice Telephone | 4354140464 |
| Mailing Telephone | 4354140464 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9835346-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
301 N 200 E STE 2C |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013479401 | Devin Hatch | Chiropractor | 301 N 200 E Ste 2c, St George, UT 84770-3040 | 2019-04-03 |
| 1295229599 | Success Communications, LLC | Counselor | 301 N 200 E Ste 2c, St George, UT 84770-3040 | 2018-06-20 |
| 1477099166 | Kathleen Brooks Tinker | Counselor | 301 N 200 E Ste 2c, St George, UT 84770-3040 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
| 1881215291 | Laura Helquist | Counselor | 321 N Mall Dr # 0-101, St George, UT 84790-7302 | 2020-04-27 |
| 1952861841 | Billie Jene Authement Acheson | Counselor | 620 S 400 E Ste 404, St George, UT 84770-7065 | 2019-03-25 |
| 1801352380 | Brayden Sloan | Counselor | 225 N Country Ln Unit 55, St George, UT 84770-8458 | 2019-02-20 |
| 1578095683 | Leigh Ann Stambaugh | Counselor | 1031 S Bluff St # 130, St George, UT 84770-5206 | 2017-03-28 |
| 1093252348 | Kathryn G Price Lcmhc LLC | Counselor | 292 S 1470 E, St George, UT 84790-1763 | 2017-01-25 |
| 1659825271 | Connie Hanson | Counselor | 230 N 1680 E Ste T2, St George, UT 84790-2573 | 2016-08-11 |
| 1306255435 | Tracy Davis | Counselor | 638 E 3470 S, St George, UT 84790-6246 | 2014-08-02 |
| 1053733949 | Erin Boorman | Counselor | 1240 E 100 S Ste 121, St George, UT 84790-3079 | 2014-01-10 |
| 1104257492 | Kristi Shaw | Counselor | 107 S 1470 E Ste 104, St George, UT 84790 | 2013-12-11 |
| Find all providers in ST GEORGE | ||||
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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.