STACEY L. JOHANSON – NPI #1194476895
Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
STACEY JOHANSON is a residential treatment facility located in EPHRAIM, UT. NPPES has assigned the NPI number 1194476895 to STACEY JOHANSON on January 13, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
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NPI Profile for
STACEY L. JOHANSON
(more than 4 years ago)
EPHRAIM, UT 84627-2130 Phone: (435) 283-0164 Fax:
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.