Provider Demographics
NPI:1114457843
Name:CAREVOY LLC
Entity Type:Organization
Organization Name:CAREVOY LLC
Other - Org Name:NATIONAL YOUTH TRANSPORTS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-285-6100
Mailing Address - Street 1:50 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:LA VERKIN
Mailing Address - State:UT
Mailing Address - Zip Code:84745-5443
Mailing Address - Country:US
Mailing Address - Phone:877-698-4968
Mailing Address - Fax:
Practice Address - Street 1:50 S STATE ST
Practice Address - Street 2:
Practice Address - City:LA VERKIN
Practice Address - State:UT
Practice Address - Zip Code:84745-5443
Practice Address - Country:US
Practice Address - Phone:877-698-4968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty