Provider Demographics
NPI:1043996192
Name:ARCHES HEALING AND GROWTH
Entity Type:Organization
Organization Name:ARCHES HEALING AND GROWTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSELYN
Authorized Official - Middle Name:MERY
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:385-386-2511
Mailing Address - Street 1:2350 E ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-3600
Mailing Address - Country:US
Mailing Address - Phone:385-386-2511
Mailing Address - Fax:
Practice Address - Street 1:4821 S KINGS ROW DR APT 31
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-5963
Practice Address - Country:US
Practice Address - Phone:385-386-2511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty