institution
Therapeutic Lifestyle Center Of Utah
Psychiatric/Mental Health Nurse Practitioner in Salt Lake City, Utah
NPI 1770054348

Therapeutic Lifestyle Center Of Utah is a Psychiatric/Mental Health Nurse Practitioner based in Salt Lake City, UT and is specialized in Psychiatric/Mental Health. Therapeutic Lifestyle Center Of Utah practices in Salt Lake City, UT. The NPI Number for Therapeutic Lifestyle Center Of Utah is 1770054348 and holds a License No. (Utah).

The current practice location address for Therapeutic Lifestyle Center Of Utah is 1151 E 3900 S Ste B175, Salt Lake City, UT and can be reached out via phone at 801-691-7064.

Location: 1151 E 3900 S Ste B175, Salt Lake City, UT, 84124-1255
institution
Provider Profile Details
NPI Number
1770054348
Provider Name
Therapeutic Lifestyle Center Of Utah
Credential
Provider Entity Type
Organization
Address
1151 E 3900 S Ste B175, Salt Lake City, UT, 84124-1255
Phone Number
801-691-7064
Fax Number
Provider Enumeration Date
12/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1151 E 3900 S Ste B175
City
State
Zip
84124-1255
Phone Number
801-691-7064
Fax Number
person
Provider Business Mailing Address Details
Address
1151 E 3900 S Ste B175
City
State
Zip
84124-1255
Phone Number
801-691-7064
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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