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Life Enhancement Center
Adolescent and Children Mental Health Clinic/Center in Provo, Utah
NPI 1326304023

Life Enhancement Center is an Adolescent and Children Mental Health Clinic/Center based in Provo, UT and is specialized in Adolescent and Children Mental Health. Life Enhancement Center practices in Provo, UT. The NPI Number for Life Enhancement Center is 1326304023 and holds a License No. 5828209-6009 (Utah).

The current practice location address for Life Enhancement Center is 1835 N 1120 W, Provo, UT and can be reached out via phone at 801-623-4770 and via fax at 801-623-4771. You can also correspond with Life Enhancement Center through the mailing address at 1835 N 1120 W, PROVO, UT - 84604-1180 (mailing address contact number: 801-623-4770).

Location: 1835 N 1120 W, Provo, UT, 84604-1180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326304023
Provider Name
Life Enhancement Center
Credential
Provider Entity Type
Organization
Address
1835 N 1120 W, Provo, UT, 84604-1180
Phone Number
801-623-4770
Fax Number
801-623-4771
Provider Enumeration Date
04/06/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1835 N 1120 W
City
Provo
State
Utah
Zip
84604-1180
Phone Number
801-623-4770
Fax Number
801-623-4771
person
Provider Business Mailing Address Details
Address
1835 N 1120 W
City
Provo
State
Utah
Zip
84604-1180
Phone Number
801-623-4770
Fax Number
801-623-4771
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
5828209-6009 (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 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
5828209-6009 ()
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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