| Life Change | |
|
437 S Bluff St Suite 202 St George UT 84770 | |
| (435) 673-1483 | |
| (435) 674-9380 |
| Full Name | Life Change |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 437 S Bluff St, St George, Utah |
| Authorized Official Name and Position | Penelope Eicher (PRESIDENT OF LLC MARRIAGE & FAMILY) |
| Authorized Official Contact | 4356731483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Change 437 S Bluff St Suite 202 St George UT 84770 Ph: (435) 673-1483 | Life Change 437 S Bluff St Suite 202 St George UT 84770 Ph: (435) 673-1483 |
| NPI Number | 1619025947 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619025947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 116677-3902 (Utah) | Primary |
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