RISE ABOVE TREATMENT CENTER (NPI# 1790229185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790229185 |
Entity Type | Organization |
Organization Name | RISE ABOVE TREATMENT CENTER |
Practice Address |
1039 S Orem Blvd Orem UT 84058-6979 |
Practice Telephone | 8016230125 |
Mailing Telephone | 8016230125 |
Enumeration Date | 2016-12-05 |
Last Update Date | 2016-12-05 |
Authorized Official Name | SUSAN LEAVITT (OWNER/ CLINICAL DIRECTOR) |
Authorized Official Telephone | 8016230125 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
34485 | UT | Ambulatory Health Care Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
34485 | UT | Ambulatory Health Care Facilities |
Street Address |
1039 S OREM BLVD |
City | OREM |
State | UT |
Zip Code | 84058-6979 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
Find all providers in zip 84058 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1891032553 | Aspen Wilde Recovery | Clinic/Center | 931 W Center St, Orem, UT 84057-5203 | 2013-01-14 |
1184607400 | Discovery House-uc, Inc | Clinic/Center | 714 S State St, Orem, UT 84058-6366 | 2005-11-21 |
1790386837 | Champion Recovery LLC | Clinic/Center | 222 W 540 N, Orem, UT 84057-6631 | 2020-11-04 |
1881139541 | Renaissance Ranch Outpatient Women's Program | Clinic/Center | 591 W 800 N, Orem, UT 84057 | 2017-01-04 |
1932493681 | True North Treatment Centers | Clinic/Center | 234 N Orem Blvd, Orem, UT 84057-6601 | 2011-05-29 |
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1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
1992343834 | Avante Recovery Center, LLC | Clinic/Center | 848 E 1475 N, Lehi, UT 84043-3568 | 2019-12-11 |
1467912139 | Infinite Arches LLC | Clinic/Center | 136 25th St, Ogden, UT 84401-1302 | 2019-03-20 |
1669952958 | Utah Harm Reduction Coalition | Clinic/Center | 91 E 7200 S, Midvale, UT 84047-1531 | 2018-08-16 |
1871016840 | Breakaway Recovery Center Murray, LLC | Clinic/Center | 5296 S Commerce Dr Ste 204, Murray, UT 84107-5393 | 2017-07-21 |
1528580180 | Brighton House LLC | Clinic/Center | 2945 E Robidoux Rd, Sandy, UT 84093-1128 | 2017-07-14 |
1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
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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.