Provider Demographics
NPI:1538646070
Name:KIDS WHO COUNT
Entity Type:Organization
Organization Name:KIDS WHO COUNT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:KIANA
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-423-3000
Mailing Address - Street 1:345 N STATE ROAD 198
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:UT
Mailing Address - Zip Code:84653-5719
Mailing Address - Country:US
Mailing Address - Phone:801-423-3000
Mailing Address - Fax:801-423-3844
Practice Address - Street 1:345 N STATE ROAD 198
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:UT
Practice Address - Zip Code:84653-5719
Practice Address - Country:US
Practice Address - Phone:801-423-3000
Practice Address - Fax:801-423-3844
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIDS WHO COUNT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty