Life Enhancement Center
Life Enhancement Center is an Adult Mental Health Clinic/Center in Provo, Utah. Licensed in Utah. Registered with an NPI since 2012.
- Licensed in
- UT
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1835 N 1120 WProvo, UT 84604-1180
Phone: (801) 623-4770
Fax: (801) 623-4771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X · Licence 5828209-6009 |
|---|---|
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X · Licence 5828209-6009 (UT) |
Record details
| NPI number | 1326304023 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shelley Mangum — Ass. Clinical Mental Health Counsel · (801) 796-0620 |
| NPI enumerated | April 6, 2012 |
| Last updated in NPPES | June 25, 2012 |
| Mailing address | 1835 N 1120 W, Provo, UT 84604-1180 |
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Enlightened Path PLLC
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