| Life Launch Centers Of South Salt Lake | |
|
9289 S Redwood Rd Ste D&e West Jordan UT 84088-6730 | |
| (833) 803-3883 | |
| (435) 767-0278 |
| Full Name | Life Launch Centers Of South Salt Lake |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9289 S Redwood Rd Ste D&e, West Jordan, Utah |
| Authorized Official Name and Position | Joni L Dyches (OWNER/CFO) |
| Authorized Official Contact | 8018038240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Launch Centers Of South Salt Lake 230 N 1680 E Ste J1 St George UT 84790-2588 Ph: (435) 767-0552 | Life Launch Centers Of South Salt Lake 9289 S Redwood Rd Ste D&e West Jordan UT 84088-6730 Ph: (833) 803-3883 |
| NPI Number | 1336705292 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336705292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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