Provider Demographics
NPI:1548573850
Name:MANA TRAINING CONSULTANTS, LLC
Entity Type:Organization
Organization Name:MANA TRAINING CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:FILIKITONGA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:801-347-2539
Mailing Address - Street 1:9176 S 300 W
Mailing Address - Street 2:SUITE 34
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2668
Mailing Address - Country:US
Mailing Address - Phone:801-347-2539
Mailing Address - Fax:801-341-8345
Practice Address - Street 1:9176 S 300 W
Practice Address - Street 2:SUITE 34
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2668
Practice Address - Country:US
Practice Address - Phone:801-347-2539
Practice Address - Fax:801-341-8345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT16596251S00000X, 253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251S00000XAgenciesCommunity/Behavioral Health