| Life Changing Therapy | |
|
1800 S West Temple Suite A332 Salt Lake City UT 84115-1851 | |
| (801) 918-9688 | |
| (801) 446-7874 |
| Full Name | Life Changing Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1800 S West Temple, Salt Lake City, Utah |
| Authorized Official Name and Position | Richard Hollis Bashaw (AGENCY MANAGER) |
| Authorized Official Contact | 8019189688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changing Therapy 1800 S West Temple Suite A332 Salt Lake City UT 84115-1851 Ph: (801) 918-9688 | Life Changing Therapy 1800 S West Temple Suite A332 Salt Lake City UT 84115-1851 Ph: (801) 918-9688 |
| NPI Number | 1477799567 |
|---|---|
| Provider Enumeration Date | 12/20/2008 |
| Last Update Date | 12/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477799567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0683 (Utah) | Primary |
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