Healthcare Provider Details

I. General information

NPI: 1023335890
Provider Name (Legal Business Name): QUALITY YOUTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 N HWY 89 STE C
HARRISVILLE UT
84404-2824
US

IV. Provider business mailing address

2240 N HWY 89 STE C
HARRISVILLE UT
84404-2824
US

V. Phone/Fax

Practice location:
  • Phone: 877-393-6232
  • Fax: 877-393-6232
Mailing address:
  • Phone: 877-393-6232
  • Fax: 877-393-6232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TAMI PAXTON
Title or Position: OWNER
Credential: LCSW
Phone: 877-393-6232