| Crimson Heights Llc | |
|
348 E 600 S St George UT 84770-3949 | |
| (435) 705-7574 | |
| (435) 249-7010 |
| Full Name | Crimson Heights Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 348 E 600 S, St George, Utah |
| Authorized Official Name and Position | Ryan R Ruud (PRESIDENT / OWNER) |
| Authorized Official Contact | 4355923789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crimson Heights Llc 348 E 600 S St George UT 84770-3949 Ph: (435) 705-7574 | Crimson Heights Llc 348 E 600 S St George UT 84770-3949 Ph: (435) 705-7574 |
| NPI Number | 1457863771 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Medicare PECOS PAC ID | 8527328756 |
|---|---|
| Medicare Enrollment ID | O20180208002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457863771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Austin K Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881651115 PECOS PAC ID: 0749268530 Enrollment ID: I20040708001298 |
| Provider Name | Ryan Ruud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972911881 PECOS PAC ID: 7810262581 Enrollment ID: I20171005000939 |
| Provider Name | Raymond Forrester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184026593 PECOS PAC ID: 3678907730 Enrollment ID: I20191223001968 |
| Provider Name | Aubree Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154512283 PECOS PAC ID: 5496166142 Enrollment ID: I20201201002262 |
| Provider Name | Brett Grimm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447793468 PECOS PAC ID: 3072970482 Enrollment ID: I20230530002956 |
| Provider Name | Dallas G Garner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982260782 PECOS PAC ID: 4880048321 Enrollment ID: I20231002002666 |
| Provider Name | Kimberly Fincher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205408325 PECOS PAC ID: 4789021643 Enrollment ID: I20240327002044 |
| Provider Name | Elysia Molly Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376209080 PECOS PAC ID: 4486093481 Enrollment ID: I20240423002026 |
| Provider Name | Kelli Ann Stoker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801666060 PECOS PAC ID: 7517309248 Enrollment ID: I20240528001256 |
| Provider Name | Abigail Genco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730879362 PECOS PAC ID: 5496294936 Enrollment ID: I20240828001035 |
| Provider Name | Victoria Kate Graff-stack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255815692 PECOS PAC ID: 6901345255 Enrollment ID: I20240829004200 |
| Provider Name | Aidan Elazar Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629855622 PECOS PAC ID: 4284173428 Enrollment ID: I20240830003324 |
| Provider Name | Maloa Bridges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912552720 PECOS PAC ID: 1557801685 Enrollment ID: I20240904002181 |
| Provider Name | Richard Crowell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336683648 PECOS PAC ID: 1850831504 Enrollment ID: I20240909001475 |
| Provider Name | Sydnie Ashbrook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952028417 PECOS PAC ID: 1557801172 Enrollment ID: I20240910003807 |
| Provider Name | Maxwell Macgregor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629842729 PECOS PAC ID: 8224578554 Enrollment ID: I20240912002679 |
| Provider Name | Jamie Parry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427448828 PECOS PAC ID: 1951842624 Enrollment ID: I20240920002939 |
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