Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEAUN LARSON HOLDAWAY, UNLICENSED PROVIDER
Active Sole ProprietorDEAUN LARSON HOLDAWAY, UNLICENSED PROVIDER is a Substance Use Disorder Rehabilitation Facility healthcare provider located in MOUNT PLEASANT, Utah. NPI 1184358921 is currently active in the NPPES registry. Verify at CMS.
Substance Use Disorder Rehabilitation Facility · MOUNT PLEASANT, UT
Registration Details
- NPI Number
- 1184358921
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2022 (4.0468024227082 yrs)
- Last Updated
- Jul 15, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
265 N STATE STMOUNT PLEASANT, UT, 846471108Browse UT providers · Browse ZIP 84647
- Phone
- 4354622781
- Fax
- 4354620155
- Primary Specialty
-
Substance Use Disorder Rehabilitation Facility
261QR0405X
- Additional Specialty
- Substance Use Disorder Rehabilitation Facility
Other Substance Use Disorder Rehabilitation Facility Providers in MOUNT PLEASANT, UT
| Name | Credential | NPI |
|---|---|---|
| WENDY ELIZABETH LAMB | CASE MANAGER | 1447984208 |
| MARVON SHANE HOLDAWAY | CM | 1053045898 |
| MR. RICHARD PRATT HEILBUT | CPSS | 1033843875 |
| DAKOTA ELLETT | CASE MANAGEMENT | 1851026462 |
| CLINTON SAMUEL WHITE | — | 1023743648 |
| CINDY KAY HANSEN | — | 1154056646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.