Makana Leadership Academy is a mental health clinic (Clinic/center - Adolescent And Children Mental Health) in Roosevelt, Utah. The current practice location for Makana Leadership Academy is 4270 W 5625 N, Roosevelt, Utah. For appointments, you can reach them via phone at (435) 353-4498. The mailing address for Makana Leadership Academy is 4270 W 5625 N, Roosevelt, Utah and phone number is (435) 353-4498.
Makana Leadership Academy is licensed to practice in * (Not Available) (license number ) and its NPI number is 1467077750. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (435) 353-4498.
Clinic/center - Adolescent And Children Mental Health
Location
4270 W 5625 N, Roosevelt, Utah
Authorized Official Name and Position
Sharon K Sperry-clegg (COMPLIANCE DIRECTOR)
Authorized Official Contact
8018593505
Accepts Medicare Insurance
This clinic does not participate in Medicare Program.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Makana Leadership Academy 4270 W 5625 N Roosevelt UT 84066-4824 Ph: (435) 353-4498
Makana Leadership Academy 4270 W 5625 N Roosevelt UT 84066-4824 Ph: (435) 353-4498
NPI Details:
NPI Number
1467077750
Provider Enumeration Date
06/11/2020
Last Update Date
06/11/2020
Certification Date
06/11/2020
Medical Identifiers
Medical identifiers for Makana Leadership Academy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1467077750
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
1041C0700X
Social Worker - Clinical
(* (Not Available))
Secondary
174200000X
Meals
(* (Not Available))
Secondary
177F00000X
Lodging
(* (Not Available))
Secondary
251B00000X
Case Management
(* (Not Available))
Secondary
261QM0855X
Clinic/center - Adolescent And Children Mental Health
(* (Not Available))
Primary
310500000X
Intermediate Care Facility, Mental Illness
(* (Not Available))
Secondary
322D00000X
Residential Treatment Facility, Emotionally Disturbed Children
(* (Not Available))
Secondary
3245S0500X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
(* (Not Available))
Secondary
Reviews and Comments
Clinic/Center in Roosevelt, UT
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