Organization
HOMEWARD BOUND
Active
Parent organization
HOMEWARD BOUND
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOMEWARD BOUND
Authorized official
DR. TIMMY RYAN THAYNE MFT (CEO)
(801) 768-1441
Entity
Organization
Contact information
Practice address
770 E MAIN ST # 215, LEHI, UT 84043
(801) 768-1441
(801) 705-0333
Mailing address
770 E MAIN ST # 215, LEHI, UT 84043-2293
(801) 768-1441
(801) 705-0333
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3683823902
UT
Other
Enumeration date
08/27/2010
Last updated
07/27/2018
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