PURE LIFE PTG NPI 1003323767

NPI Information

NPI: 1003323767
Provider Name: PURE LIFE PTG
Classification: Psychologist - 103TA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Organization
Address: 7390 S CREEK RD STE 202
SANDY, UT
ZIP 84093
Phone: (801) 893-2550

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NPI Details

PURE LIFE PTG is an addiction (substance use disorder) psychologist in Sandy, UT. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. PURE LIFE PTG NPI is 1003323767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7390 S CREEK RD STE 202
SANDY, UT
ZIP 84093-123
Phone: (801) 893-2550

The provider's authorized official is John Lund .
The authorized official title is Executive Director and has the following contact phone number (801) 664-3741.

The enumeration date for this NPI number is 1/3/2018 and was last updated on 1/3/2018.

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	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			Yes

What is NPI?

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This page was last updated on: 11/21/2025

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