Phases Of Change

LBN: Lavallee Corporation
Phases Of Change is an health care organization with primary practice located at 121 Country Club Dr , Ogden UT 84405-2704. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Lavallee Corporation can be contacted via phone (801) 695-0386, or through Lavallee, Jeffrey A via phone (801) 695-0386.

Contact Information

Primary practice address
121 Country Club Dr Ogden UT 84405-2704
Phone: (801) 695-0386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lavallee, Jeffrey A LMFT
Phone: (801) 695-0386

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 3314093902 Utah

Profile Details

NPI number 1134310956
LBN Legal business name Lavallee Corporation
DBA Doing business as Phases Of Change
Authorized official Lavallee, Jeffrey A LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134310956 NPPES
Utah MEDICAID 788007788057

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