# PREPARED ACCEPTANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609576255
- **Authorized official:** JORDAN LYMAN DYE LCSW (CEO)
- **Authorized official phone:** (801) 901-3692

## Contact information

- **Practice address:** 1893 E SKYLINE DR STE 110D, SOUTH OGDEN, UT 84403-5218
- **Practice address phone:** (801) 901-3692
- **Practice address fax:** (855) 636-8306
- **Mailing address:** 320 CHERRY DR, RIVERDALE, UT 84405-5532
- **Mailing address phone:** (801) 901-3692
- **Mailing address fax:** (855) 636-8306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2023
- **Last updated:** 08/06/2025
