Provider Demographics
NPI:1407217599
Name:HERRIMAN ENTERPRISES LLC
Entity Type:Organization
Organization Name:HERRIMAN ENTERPRISES LLC
Other - Org Name:RENEW WELLNESS & RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:WAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-890-1000
Mailing Address - Street 1:9500 S 500 W
Mailing Address - Street 2:SUITE #213
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2574
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13727 S ROCKY POINT DR
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-1719
Practice Address - Country:US
Practice Address - Phone:801-568-1501
Practice Address - Fax:801-506-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility