SUNDANCE BEHAVIORAL HEALTH (NPI# 1326157355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326157355 |
Entity Type | Organization |
Organization Name | SUNDANCE BEHAVIORAL HEALTH |
Other Organization Name | SUNDANCE BEHAVIORAL RESOURCES, LLC |
Practice Address |
845 E 4800 S Suite 200 Murray UT 84107-5049 |
Practice Telephone | 8012649522 |
Practice Fax Number | 8012659604 |
Mailing Telephone | 8012649522 |
Mailing Fax Number | 8012659604 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-06-26 |
Authorized Official Name | DEX WHITEHEAD (MANAGING PARTNER) |
Authorized Official Telephone | 8012649522 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SunDance Behavioral Resources, LLC | Doing Business As Name - Organization |
Street Address |
845 E 4800 S SUITE 200 |
City | MURRAY |
State | UT |
Zip Code | 84107-5049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083917348 | Sarah Nolan Romney | Social Worker | 845 E 4800 S, Suite 200, Murray, UT 84107-5049 | 2010-12-08 |
1164588703 | Cynthia Leigh Kimberlin-flanders | Counselor | 845 E 4800 S, Suite 200, Murray, UT 84107-5049 | 2006-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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---|---|---|---|---|
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1770087363 | Crystal Counseling LLC | Clinic/Center | 151 E 5600 S Ste 208, Murray, UT 84107-8146 | 2018-03-20 |
1578102851 | Connections Counseling Services of Utah, Pllc | Clinic/Center | 111 E 5600 S Ste 304, Murray, UT 84107-8174 | 2020-01-03 |
1881021301 | Mary Kay Lehto Lcsw LLC | Clinic/Center | 684 E Vine St, #4a, Murray, UT 84107-5548 | 2013-09-29 |
1780856906 | Clearwater Counseling | Clinic/Center | 684 E Vine St Ste 4a, Murray, UT 84107-5540 | 2008-03-27 |
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1811548589 | Insaneability | Clinic/Center | 2013 E Fielding Hill Ln, Draper, UT 84020-2505 | 2019-09-24 |
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1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
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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.