THERAPEUTIC LIFESTYLE CENTER OF UTAH NPI 1770054348

NPI Information

NPI: 1770054348
Provider Name: THERAPEUTIC LIFESTYLE CENTER OF UTAH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1151 E 3900 S STE B175
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 691-7064
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THERAPEUTIC LIFESTYLE CENTER OF UTAH is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. THERAPEUTIC LIFESTYLE CENTER OF UTAH NPI is 1770054348. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1151 E 3900 S STE B175
SALT LAKE CITY, UT
ZIP 84124-255
Phone: (801) 691-7064

The provider's authorized official is Sasha Kihm .
The authorized official title is Administrative Director and has the following contact phone number (801) 691-7064.

The enumeration date for this NPI number is 12/7/2018 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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