| Live For Life Behavioral Health, Llc | |
|
9045 S 1300 E # 200 Sandy UT 84094-3134 | |
| (801) 666-6834 | |
| (801) 904-0272 |
| Full Name | Live For Life Behavioral Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9045 S 1300 E # 200, Sandy, 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 Behavioral Health, Llc 9045 S 1300 E # 200 Sandy UT 84094-3134 Ph: (801) 666-6834 | Live For Life Behavioral Health, Llc 9045 S 1300 E # 200 Sandy UT 84094-3134 Ph: (801) 666-6834 |
| NPI Number | 1205484755 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205484755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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