OrganizationActive
Makana Leadership Academy
NPI 1467077750 · Adolescent and Children Mental Health Clinic/Center · Roosevelt, UT
Provider details
- NPI number
- 1467077750
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sharon Sperry-Clegg, Compliance Director(801) 859-3505
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Meals Provider174200000X
Other Service Providers
- Lodging Provider177F00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
Nursing & Custodial Care Facilities
Practice location
4270 W 5625 N
Roosevelt, UT 84066-4824
Phone: (435) 353-4498
Fax: (435) 353-4898
Approximate (ZIP-level) locationGet directions
Mailing address
4270 W 5625 N
Roosevelt, UT 84066-4824
Registry dates
- Enumerated
- 2020-06-11
- Last updated
- 2020-06-11
- Certified
- 2020-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.