LIFE BALANCE RECOVERY NPI 1194392670

NPI Information

NPI: 1194392670
Provider Name: LIFE BALANCE RECOVERY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 46D2228893

Address:
1291 EXPRESSWAY LN
SPANISH FORK, UT
ZIP 84660
Phone: (801) 367-0394
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LIFE BALANCE RECOVERY is a rehabilitation and substance use disorder clinic center in Spanish Fork, UT. LIFE BALANCE RECOVERY NPI is 1194392670. The provider is registered as an organization entity type.

The provider's business location address is:

1291 EXPRESSWAY LN
SPANISH FORK, UT
ZIP 84660-333
Phone: (801) 367-0394

The provider's authorized official is Chelsie Laurie Durden .
The authorized official title is Owner and has the following contact phone number (801) 367-0394.

The CLIA number assigned to this NPI record is 46D2228893 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2021 and was last updated on 6/4/2021.

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	261QM0850X	Clinic/Center	Adult Mental Health			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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: 4/28/2024

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