| Live For Life Aspen, Llc | |
|
179 W Winchester St Murray UT 84107-7237 | |
| (801) 666-6834 | |
| Not Available |
| Full Name | Live For Life Aspen, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 179 W Winchester St, Murray, Utah |
| Authorized Official Name and Position | Troy Shaw (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8016666834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live For Life Aspen, Llc 179 W Winchester St Murray UT 84107-7237 Ph: () - | Live For Life Aspen, Llc 179 W Winchester St Murray UT 84107-7237 Ph: (801) 666-6834 |
| NPI Number | 1073155529 |
|---|---|
| Provider Enumeration Date | 10/16/2019 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073155529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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