LORRAINE MICHELLE IVEY


Address: 115 N 200 E, Washington, UT 84780-1642
Phone: 4356698981

LORRAINE MICHELLE IVEY (NPI# 1952790099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952790099
Entity Type Individual
Full Name LORRAINE MICHELLE IVEY
Practice Address 115 N 200 E
Washington
UT 84780-1642
Practice Telephone 4356698981
Mailing Telephone 4356698981
Enumeration Date 2015-01-13
Last Update Date 2015-01-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
UT Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
UT ALTIUS 901207545-04 01

Office Location

Street Address 115 N 200 E
City WASHINGTON
State UT
Zip Code 84780-1642

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Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871015669 Plant The Seed Youth Treatment Services Substance Abuse Rehabilitation Facility 5212 Astor Pl Se, Washington, DC 20019-6447 2017-07-13
1043483852 Federal City Recovery Services Substance Abuse Rehabilitation Facility 316 F St Ne, Suite 118, Washington, DC 20002-4917 2008-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912328576 Heather Jenkins Substance Abuse Rehabilitation Facility 6200 South 3809 West, Kearns, UT 84129 2013-12-30
1477819878 Mt Pleasant Campus Substance Abuse Rehabilitation Facility 1170 South 70 West, Mt. Pleasant, UT 84647 2012-04-10
1821382318 Terri Butcher Substance Abuse Rehabilitation Facility 66 North 180 West, Ephriam, UT 84627-1111 2011-06-02
1154641926 Triumph Youth Services Substance Abuse Rehabilitation Facility 58 S 950 W, Brigham City, UT 84302-4424 2010-06-03
1922323203 Catalyst Residential Treatment Substance Abuse Rehabilitation Facility 970 S 1025 W, Brigham City, UT 84302-6711 2010-03-30
1003014648 Eagle Ranch Academy Substance Abuse Rehabilitation Facility 115 W 1470 S, St George, UT 84770-6763 2007-07-05
1780782508 Northstar Youth Academy LLC Substance Abuse Rehabilitation Facility 900 Columbia Ln, Provo, UT 84604-1320 2006-09-20
1083073985 Eric Peter Rydzewski Substance Abuse Rehabilitation Facility 344 E 100 S, Suite 301, Salt Lake City, UT 84111-1700 2016-02-19
1639565260 Salt Creek Addiction Recovery Services Substance Abuse Rehabilitation Facility 21360 N 1450 E, Moroni, UT 84646 2015-04-10
1396169728 Apex Youth Services Substance Abuse Rehabilitation Facility 8606 N 11600 W, Thatcher, UT 84337-9103 2014-02-05
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Competitor

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City WASHINGTON
Zip Code 84780

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Dataset Information

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.

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