Provider Demographics
NPI:1609576255
Name:PREPARED ACCEPTANCE
Entity Type:Organization
Organization Name:PREPARED ACCEPTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:LYMAN
Authorized Official - Last Name:DYE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-901-3692
Mailing Address - Street 1:320 CHERRY DR
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84405-5532
Mailing Address - Country:US
Mailing Address - Phone:801-901-3692
Mailing Address - Fax:855-636-8306
Practice Address - Street 1:295 E 200 S
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-1082
Practice Address - Country:US
Practice Address - Phone:801-901-3692
Practice Address - Fax:855-636-8306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty