Healthcare Provider Details

I. General information

NPI: 1548367881
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA OF UTAH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 S REDWOOD ROAD
SALT LAKE CITY UT
84104
US

IV. Provider business mailing address

1875 S REDWOOD ROAD
SALT LAKE CITY UT
84104
US

V. Phone/Fax

Practice location:
  • Phone: 801-363-9414
  • Fax: 801-355-3546
Mailing address:
  • Phone: 801-363-9414
  • Fax: 801-355-3546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number11864
License Number StateUT

VIII. Authorized Official

Name: HEIDI STONE
Title or Position: CREDENTIALING
Credential:
Phone: 801-355-2846