EVNSQ, LLC (NPI# 1538622675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538622675 |
| Entity Type | Organization |
| Organization Name | EVNSQ, LLC |
| Practice Address |
5170 S Highland Dr Holladay UT 84117-7048 |
| Practice Telephone | 8016693967 |
| Mailing Telephone | 8016693967 |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |
| Authorized Official Name | MICAH S WOODWORTH (COO/CFO) |
| Authorized Official Telephone | 3856955704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE LICENSE NUMBER | 72573 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
| Street Address |
5170 S HIGHLAND DR |
| City | HOLLADAY |
| State | UT |
| Zip Code | 84117-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871211 | Laurelie Delli Gatti | Counselor | 5170 S Highland Dr, Holladay, UT 84117-7048 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891153102 | Brian Pulsipher | Counselor | 4878 S 1300 E, Apt 38, Holladay, UT 84117-5865 | 2016-02-01 |
| 1649871211 | Laurelie Delli Gatti | Counselor | 5170 S Highland Dr, Holladay, UT 84117-7048 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565803 | Nathaniel A Moore | Counselor | 11764 West Aspen Lane, Loa, UT 84747 | 2020-10-09 |
| 1235751587 | Clara Sobral Hinckley | Counselor | 975 S 250 W Apt A, Provo, UT 84601-5991 | 2020-05-09 |
| 1487275855 | Norman Van Bray | Counselor | 260 W North Lane, Holden, UT 84636 | 2020-04-27 |
| 1972133783 | Aspire365, LLC | Counselor | 772 E 8230 S, Sandy, UT 84094-0679 | 2020-01-21 |
| 1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
| 1679120729 | Kristen E Tolman | Counselor | 506 Harvest Moon Dr, Pleasant Grove, UT 84062-3663 | 2019-08-23 |
| 1134788060 | Isaac Curtis | Counselor | 523 Heritage Park Blvd Ste 4, Layton, UT 84041-5611 | 2019-06-13 |
| 1689231094 | Chasity Edwards | Counselor | 491 E Riverside Dr Ste 1a, St George, UT 84790-7052 | 2019-05-21 |
| 1841855632 | Kathy Rekoutis | Counselor | 1397 W 8660 S, West Jordan, UT 84088-9115 | 2019-05-07 |
| 1740845858 | Debra Drabner | Counselor | 164 E 5900 S Ste A101, Murray, UT 84107-7279 | 2019-05-03 |
| Find all providers with the same taxonomy | ||||
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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.