Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifeline Behavioral Health, LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1780884742

Lifeline Behavioral Health, LLC is an Adolescent and Children Mental Health Clinic/Center in North Salt Lake, Utah. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 W Center St
North Salt Lake, UT 84054-2917
Phone: (801) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1780884742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Petersen — Chief Executive Officer · (801) 936-4000
Other names Lifeline For Youth
NPI enumeratedJuly 18, 2007
Last updated in NPPESApril 10, 2015
Mailing address1130 W Center St, North Salt Lake, UT 84054-2917

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