| Life Launch Centers Of South Salt Lake | |
|
383 N State St Ste 201&202 Orem UT 84057-4771 | |
| (801) 703-4830 | |
| (435) 767-0278 |
| Full Name | Life Launch Centers Of South Salt Lake |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 383 N State St Ste 201&202, Orem, Utah |
| Authorized Official Name and Position | Joni Dyches (FINANCIAL DIRECTOR/OWNER) |
| Authorized Official Contact | 8018038240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Launch Centers Of South Salt Lake 230 N 1680 E Ste J1 St George UT 84790-2588 Ph: (801) 703-4830 | Life Launch Centers Of South Salt Lake 383 N State St Ste 201&202 Orem UT 84057-4771 Ph: (801) 703-4830 |
| NPI Number | 1780343046 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780343046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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