SEQUEL YOUTH SERVICES OF LAVA HEIGHTS (NPI# 1245787324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245787324 |
Entity Type | Organization |
Organization Name | SEQUEL YOUTH SERVICES OF LAVA HEIGHTS |
Other Organization Name | LAVA HEIGHTS ACADEMY |
Practice Address |
730 E. Spring Drive Toquerville UT 84774 |
Mailing Address |
1131 Eagletree Ln Sw Huntsville AL 35801-6491 |
Practice Telephone | 4356450300 |
Mailing Telephone | 2568803339 |
Mailing Fax Number | 2568807026 |
Enumeration Date | 2016-09-06 |
Last Update Date | 2019-10-16 |
Authorized Official Name | MRS. MANDY MOSES (CHIEF PROGRAM OFFICER/EVP) |
Authorized Official Telephone | 2568803339 |
Is Organization Subpart | Y |
Parent Organization Name | CARE YOUTH CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Lava Heights Academy | Doing Business As Name - Organization |
Street Address |
730 E. SPRING DRIVE |
City | TOQUERVILLE |
State | UT |
Zip Code | 84774 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831679083 | Garth John Lasater | Social Worker | 652 North Shady Lane, Toquerville, UT 84774 | 2018-08-17 |
1851847057 | Kimberly Seay-smith | Counselor | 730 Spring St., Toquerville, UT 84774 | 2016-08-28 |
1902208804 | Ashcreek Ranch Utah | Psychiatric Residential Treatment Facility | 652 N Toquerville Blvd, Toquerville, UT 84774 | 2014-09-23 |
1841608791 | Ivory Colledge | Social Worker | 730 Spring Drive, Toquerville, UT 84774 | 2014-07-23 |
1982947347 | Lava Heights Academy | Psychiatric Residential Treatment Facility | 730 E Spring Dr, Toquerville, UT 84774 | 2013-04-03 |
1417256405 | Insight Recovery, LLC | Substance Abuse Rehabilitation Facility | 1533 S. Cane Circle, Toquerville, UT 84774 | 2011-03-16 |
1477150910 | Care Youth Corporation | Substance Abuse Rehabilitation Facility | 730 Spring Drive, Toquerville, UT 84774 | 2020-10-07 |
1962990069 | Tiara Katherine Valk | Licensed Practical Nurse | 730 Spring Drive, Toquerville, UT 84774 | 2018-04-25 |
1649473778 | Stephen J Doughty | Naturopath | 1500 S Cholla, Toquerville, UT 84774-5064 | 2007-06-06 |
1689120255 | Heather Weinberg | Counselor | 730 Spring Drive, Toquerville, UT 84774-5086 | 2016-09-01 |
Find all providers in zip 84774 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144872516 | Davis Behavioral Health Inc | Community Based Residential Treatment Facility, Mental Illness | 2250 N Robins Dr, Layton, UT 84041-1140 | 2019-07-15 |
1710444245 | New Focus Academy | Community Based Residential Treatment Facility, Mental Illness | 1268 N Valley Heights Cir, Heber City, UT 84032-4591 | 2019-02-20 |
1871066365 | Sundance Canyon East | Community Based Residential Treatment Facility, Mental Illness | 11457 S 700 W, Draper, UT 84020-9426 | 2019-01-07 |
1508307083 | Jennifer Carlson | Community Based Residential Treatment Facility, Mental Illness | 8375 South 700east, Sandy, UT 84070 | 2017-03-16 |
1932646148 | Canyon River Ranch | Community Based Residential Treatment Facility, Mental Illness | 244 Ogden Cyn, Ogden, UT 84401-0958 | 2017-01-25 |
1629513833 | Telos | Community Based Residential Treatment Facility, Mental Illness | 661 S 1200 W, Orem, UT 84058-5817 | 2016-12-23 |
1982150256 | Sequel Youth Services of Falcon Ridge Ranch | Community Based Residential Treatment Facility, Mental Illness | 633 East Highway, Virgin, UT 84779 | 2016-08-28 |
1073069340 | Sequel Youth Services of Mt. Pleasant | Community Based Residential Treatment Facility, Mental Illness | 1100 South 70 West, Mt. Pleasant, UT 84647 | 2016-08-28 |
1942667597 | Mosaic House- Certs | Community Based Residential Treatment Facility, Mental Illness | 1488 E Vine St, Murray, UT 84121-1958 | 2016-01-26 |
1427425859 | Gateway Academy, LLC | Community Based Residential Treatment Facility, Mental Illness | 2487 S 700 E, Salt Lake City, UT 84106-1722 | 2015-09-02 |
Find all providers with the same taxonomy |
City | TOQUERVILLE |
Zip Code | 84774 |
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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.