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LIFE ENHANCEMENT CENTER
NPI 1326304023
Clinic/Center - Adult Mental Health in Provo, UT

Active since April 06, 2012
1835 N 1120 W, PROVO, UT 84604(801) 623-4770(801) 623-4771 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Enhancement Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE ENHANCEMENT CENTER (NPI 1326304023) is a healthcare organization registered as an adult mental health in Provo, Utah and active in the NPI registry since April 2012. The organization lists Shelley Mangum, Ass. Clinical Mental Health Counsel, as its authorized official.

NPPES Registry Identity

NPI1326304023
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLIFE ENHANCEMENT CENTER
Location Address1835 N 1120 WProvo, UT 84604-1180
Mailing Address1835 N 1120 WProvo, UT 84604-1180 · (801) 623-4770 · Fax (801) 623-4771
Phone(801) 623-4770
Fax(801) 623-4771
Organization SubpartNo
Authorized OfficialShelley MangumAss. Clinical Mental Health Counsel · (801) 796-0620
Enumeration DateApril 6, 2012
Last NPPES UpdateJune 25, 2012
✔ NPI 1326304023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed · 5828209-6009
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 5828209-6009 (UT)
1835 N 1120 W, Provo, UT 84604
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON HANSEN
Counselor (Mental Health)
1835 N 1120 W
PROVO, UT 84604
Utah County (801) 477-0532
LIFE ENHANCEMENT CENTER
Community/Behavioral Health
1835 N 1120 W
PROVO, UT 84604
Utah County (801) 623-4770
TIFFANY ROE M.A., C.M.H.C.
Counselor (Mental Health)
1835 N 1120 W
PROVO, UT 84604
Utah County (801) 623-4770
RUSSELL CLIFFORD GAEDE PSY.D., LPC
Counselor
1835 N 1120 W
PROVO, UT 84604
Utah County (801) 623-4770
MR. DAVID E WARD JR. LPC
Counselor (Mental Health)
1835 N 1120 W
PROVO, UT 84604
Utah County (801) 623-4770
TRACIE DANA FOSTER APC
Counselor (Mental Health)
1835 N 1120 W
PROVO, UT 84604
Utah County (801) 592-7620
LAURA JACOBSEN CARTER MHC/ LPC
Community/Behavioral Health
1835 N 1120 W
PROVO, UT 84604
Utah County (801) 477-0532
LUCA REID ACMHC
Counselor (Mental Health)
1835 N 1120 W
PROVO, UT 84604
Utah County (801) 477-0532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Enhancement Center's NPI number?

The NPI number for Life Enhancement Center is 1326304023. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Life Enhancement Center located?

Life Enhancement Center is located at 1835 N 1120 W, Provo, UT 84604. The listed phone number is (801) 623-4770.

What is Life Enhancement Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Life Enhancement Center was last updated on June 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.