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D. B. Tug Wagstaff, Lpc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in American Fork, Utah
NPI 1053638031

D. B. Tug Wagstaff, Lpc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in American Fork, UT. D. B. Tug Wagstaff, Lpc practices in American Fork, UT. The NPI Number for D. B. Tug Wagstaff, Lpc is 1053638031 and holds a License No. 321749-6004 (Utah).

The current practice location address for D. B. Tug Wagstaff, Lpc is 1021 E 70 N, American Fork, UT and can be reached out via phone at 801-376-4787.

Location: 1021 E 70 N, American Fork, UT, 84003-2914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053638031
Provider Name
D. B. Tug Wagstaff, Lpc
Credential
Provider Entity Type
Organization
Address
1021 E 70 N, American Fork, UT, 84003-2914
Phone Number
801-376-4787
Fax Number
Provider Enumeration Date
04/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
321749-6004 01 UT PROFESSIONAL COUNSELOR LICENSE ISSUED BY STATE OF UTAH DEPT. OF COMMERCE
institution
Provider Business Practice Location Address Details
Address
1021 E 70 N
City
American Fork
State
Utah
Zip
84003-2914
Phone Number
801-376-4787
Fax Number
person
Provider Business Mailing Address Details
Address
1021 E 70 N
City
American Fork
State
Utah
Zip
84003-2914
Phone Number
801-376-4787
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Psychiatric Unit
Speciality
-
Taxonomy
273R00000X
License No.
321749-6004 (Utah)
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
321749-6004 (Utah)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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