Healthcare Provider Details

I. General information

NPI: 1609146091
Provider Name (Legal Business Name): PARENTS HELPING PARENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2012
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11175 S REDWOOD ROAD
SOUTH JORDAN UT
84095-8208
US

IV. Provider business mailing address

11175 S REDWOOD ROAD
SOUTH JORDAN UT
84095-8208
US

V. Phone/Fax

Practice location:
  • Phone: 801-484-9911
  • Fax: 801-676-4150
Mailing address:
  • Phone: 801-484-9911
  • Fax: 801-676-4150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number18701
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18702
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number18702
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number18702
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number18700
License Number StateUT
# 6
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number18701
License Number StateUT
# 7
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number18701
License Number StateUT
# 8
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number18702
License Number StateUT
# 9
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number11419
License Number StateUT

VIII. Authorized Official

Name: JAMIE CALDWELL
Title or Position: OFFICE MANAGER
Credential:
Phone: 801-484-9911