Healthcare Provider Details

I. General information

NPI: 1447172374
Provider Name (Legal Business Name): IRON PEAK BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 S SHIVWITS DR
SCENIC AZ
86432-3383
US

IV. Provider business mailing address

348 E 600 S
ST GEORGE UT
84770-3949
US

V. Phone/Fax

Practice location:
  • Phone: 435-705-7574
  • Fax: 435-249-7010
Mailing address:
  • Phone: 435-705-7574
  • Fax: 435-249-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RYAN RUUD
Title or Position: OWNER
Credential: LCSW
Phone: 435-705-7574