Provider Demographics
NPI:1265932412
Name:DOWNING, ELIANA O (CSW)
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:O
Last Name:DOWNING
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1169 S 600 E
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-4561
Mailing Address - Country:US
Mailing Address - Phone:801-857-4082
Mailing Address - Fax:
Practice Address - Street 1:1169 S 600 E
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-4561
Practice Address - Country:US
Practice Address - Phone:801-857-4082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT363141-3502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR53475OtherCPH&ASSOCIATES