OrganizationActive
Tearace Ent., LLC
NPI 1326504523 · Adolescent and Children Mental Health Clinic/Center · Kanab, UT
Provider details
- NPI number
- 1326504523
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randy Soderquist, Owner(435) 691-0856
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1739 S Highway 89a
Kanab, UT 84741-3957
Phone: (928) 643-6000
Fax: (928) 643-6024
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 61
Kanab, UT 84741-0061
Other names (DBA / former)
- Doing business as
- Your Life Launch
Registry dates
- Enumerated
- 2019-02-13
- Last updated
- 2019-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.