Life Enhancement Center in Provo - Community/behavioral Health
Life Enhancement Center - NPI 1083876734
Life Enhancement Center is a Community/behavioral Health in Provo, Utah. Life Enhancement Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Life Enhancement Center is 1083876734. The last update date is 2008-06-25.
Life Enhancement Center's current location address is 1835 N 1120 W, Provo, Utah. You can contact this provider via phone number 8016234770 and fax number 8016234771. The mailing address for Life Enhancement Center is 1835 N 1120 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Enhancement Center |
|---|---|
| Address | 1835 N 1120 W, Provo, Utah |
| Phone Number | 8016234770 |
| Fax Number | 8016234771 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Gaede C Russell |
| Credentials | PSYD |
| Telephone Number | 8016234770 |
NPI Number Detail
| NPI Number | 1083876734 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 1835 N 1120 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846041180 |
| Phone Number | 8016234770 |
| Fax Number | 8016234771 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 6332186-0142 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code issued to Life Enhancement Center by the Centers for Medicare & Medicaid Services?
The Life Enhancement Center has been assigned the NPI (National Provider Identifier) 1083876734 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Life Enhancement Center is physically located?
The Life Enhancement Center is physically situated at the following address: 1835 N 1120 W, Provo, UT, 846041180.
What is Life Enhancement Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Life Enhancement Center is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did Life Enhancement Center receive its 1083876734 assignment from the Centers for Medicare & Medicaid Services?
The Life Enhancement Center was assigned its 1083876734 on 2008-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Life Enhancement Center most recently updated or revised?
The details related to Life Enhancement Center, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-25.
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