Provider Demographics
NPI:1992319297
Name:SYNERGY FAMILY SERVICES
Entity type:Organization
Organization Name:SYNERGY FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKONI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:801-856-6081
Mailing Address - Street 1:5331 W IMPRESSIONS WAY
Mailing Address - Street 2:
Mailing Address - City:KEARNS
Mailing Address - State:UT
Mailing Address - Zip Code:84118-8533
Mailing Address - Country:US
Mailing Address - Phone:801-856-6081
Mailing Address - Fax:
Practice Address - Street 1:5331 W IMPRESSIONS WAY
Practice Address - Street 2:
Practice Address - City:KEARNS
Practice Address - State:UT
Practice Address - Zip Code:84118-8533
Practice Address - Country:US
Practice Address - Phone:801-856-6081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253J00000XAgenciesFoster Care AgencyGroup - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care