Organization Name: | BATTLE CREEK BEHAVIORAL HEALTH, LLC |
NPI Number: | 1437560711 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EVAN C COATES (CEO/MENTAL HEALTH THERAPIST) |
Mailing Address: | 275 W 200 N Ste 203 Rm 4 Lindon |
State: | UT US |
Postal Code: | 840425009 |
Phone Number: | 8016106851 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2014 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 66152873501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |