Healthcare Provider Details
I. General information
NPI: 1518653989
Provider Name (Legal Business Name): STRENGTHENING THE FAMILY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2023
Last Update Date: 04/18/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
746 N HAYSTACK MOUNTAIN DR
HEBER CITY UT
84032-5678
US
IV. Provider business mailing address
2855 EAST COAST HIGHWAY SUITE 218
NEWPORT BEACH CA
92660
US
V. Phone/Fax
- Phone: 901-488-2787
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MARK
HOBBINS
Title or Position: FOUNDER
Credential:
Phone: 901-488-2787