# THE CHILD'S ALLIANCE, LLC

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

## Provider details

- **NPI number:** 1780459016
- **Authorized official:** NATHANAEL WESLEY RIDGE PH.D., PA-C (OWNER)
- **Authorized official phone:** (801) 448-8699

## Contact information

- **Practice address:** 1909 S 4250 W OFC A, SALT LAKE CITY, UT 84104-4837
- **Practice address phone:** (801) 675-8777
- **Practice address fax:** (801) 852-0325
- **Mailing address:** 11721 S SILVER SPUR LN, DRAPER, UT 84020-4515
- **Mailing address phone:** (801) 462-3925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | Yes |
| 363AM0700X | Medical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 11/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1134424641 | NPPES | UT |
| 01 | — | 6833666-1206 | DOPL | UT |
| 01 | — | 6833666-2501 | DOPL | UT |
| 01 | — | 6833666-8906 | DOPL | UT |