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Life Integrative Health Center
Adolescent and Children Mental Health Clinic/Center in Provo, Utah
NPI 1063833721

Life Integrative Health Center is an Adolescent and Children Mental Health Clinic/Center based in Provo, UT and is specialized in Adolescent and Children Mental Health. Life Integrative Health Center practices in Provo, UT. The NPI Number for Life Integrative Health Center is 1063833721 and holds a License No. (Utah).

The current practice location address for Life Integrative Health Center is 777 N 500 W, Provo, UT and can be reached out via phone at 801-869-8199 and via fax at 801-705-0436. You can also correspond with Life Integrative Health Center through the mailing address at 777 N 500 W STE 104, PROVO, UT - 84601-1541 (mailing address contact number: 801-869-8199).

Location: 777 N 500 W, Provo, UT, 84601-1541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063833721
Provider Name
Life Integrative Health Center
Credential
Provider Entity Type
Organization
Address
777 N 500 W, Provo, UT, 84601-1541
Phone Number
801-869-8199
Fax Number
801-705-0436
Provider Enumeration Date
12/26/2013
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
777 N 500 W
City
Provo
State
Utah
Zip
84601-1541
Phone Number
801-869-8199
Fax Number
801-705-0436
person
Provider Business Mailing Address Details
Address
777 N 500 W Ste 104
City
Provo
State
Utah
Zip
84601-1541
Phone Number
801-869-8199
Fax Number
801-705-0436
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
NOT REQUIRED (Utah)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
0000000 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
NOT REQUIRED (Utah)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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