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GATEWAY ACADEMY, LLC
NPI 1427425859
Community Based Residential Treatment Facility, Mental Illness in Salt Lake City, UT

Active since September 02, 2015
2487 S 700 E, SALT LAKE CITY, UT 84106(801) 523-3479(801) 437-2984 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gateway Academy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY ACADEMY, LLC (NPI 1427425859) is a healthcare organization registered as a community based residential treatment facility, mental illness in Salt Lake City, Utah and active in the NPI registry since September 2015. The organization lists Angie Evans, Bo, as its authorized official.

NPPES Registry Identity

NPI1427425859
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameGATEWAY ACADEMY, LLC
Location Address2487 S 700 ESalt Lake City, UT 84106-1722
Mailing Address2487 S 700 ESalt Lake City, UT 84106-1722 · (801) 523-3479 · Fax (801) 437-2984
Phone(801) 523-3479
Fax(801) 437-2984
Organization SubpartNo
Authorized OfficialAngie EvansBo · (801) 766-6604
Enumeration DateSeptember 2, 2015
✔ NPI 1427425859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in UT · 3132
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2487 S 700 E, Salt Lake City, UT 84106
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP DENTON MILLERBERG CPSS
Counselor (Addiction (Substance Use Disorder))
2487 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (385) 261-2070
BRADEN D NORTH
Counselor (Addiction (Substance Use Disorder))
2487 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (385) 261-2070
SEVENTH STREET TREATMENT CENTER
Substance Abuse Rehabilitation Facility
2487 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (385) 261-2069
EDWARD EUGENE BROYLES CPSS
Counselor (Addiction (Substance Use Disorder))
2487 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (801) 554-4477
TIFFANY THOMPSON CPSS
Case Manager/Care Coordinator
2487 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (385) 261-2070
ZACHARY PAUL DIEHL CPSS
Counselor (Addiction (Substance Use Disorder))
2487 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (385) 261-2070
SARA DERYKE CPSS
Case Manager/Care Coordinator
2487 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (385) 261-2070
SUNNY LYN LIVINGSTON MSW
Counselor (Addiction (Substance Use Disorder))
2487 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (385) 261-2070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Academy, LLC's NPI number?

The NPI number for Gateway Academy, LLC is 1427425859. It was assigned to this organization in the NPPES registry on September 2, 2015.

Where is Gateway Academy, LLC located?

Gateway Academy, LLC is located at 2487 S 700 E, Salt Lake City, UT 84106. The listed phone number is (801) 523-3479.

What is Gateway Academy, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Gateway Academy, LLC was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.