NPI 1205115839 · live from the CMS NPI Registry
Arcadia Recovery Center Professional Limited Liability Company
Social Worker, Clinical in Bluffdale, UT. National Provider Identifier 1205115839, active.
NPI record
| NPI | 1205115839 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2435 Spencer Crest Dr, Bluffdale, UT 84065 |
| Practice phone | 801-709-9419 |
| Mailing address | 806 S 1040 W, Payson, UT 84651 |
| Enumerated | August 13, 2011 |
| Last updated | August 13, 2011 |
| Authorized official | Dustin Long, Executive Director |
| Other names | Arcadia Recovery Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 7760548-3502 (UT) |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 7760548-3502 (UT) |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | 7760548-3502 (UT) |
| Behavior Analyst | 103K00000X | 7760548-3502 (UT) |
| Social Worker | 104100000X | 7760548-3502 (UT) |
| Marriage & Family Therapist | 106H00000X | 7760548-3502 (UT) |
| Social Worker, Clinical primary | 1041C0700X | 7760548-3502 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.