LIFE ENHANCEMENT CENTER
NPI 1326304023
Clinic/Center - Adult Mental Health in Provo, UT
- Organization
- Clinic/Center
- Adult Mental Health
About LIFE ENHANCEMENT CENTER
This page provides the complete NPI Profile along with additional information for Life Enhancement Center, a provider established in Provo, Utah operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1326304023 assigned on April 2012. The practitioner's primary taxonomy code is 261QM0850X with license number 5828209-6009 (). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Shelley Mangum Acmhc (Ass. Clinical Mental Health Counsel)
- NPI
- 1326304023 Verify this NPI
- Provider Name
- LIFE ENHANCEMENT CENTER
- Entity Type
- Organization
- Location Address
- 1835 N 1120 W PROVO, UT 84604
- Location Phone
- (801) 623-4770
- Location Fax
- (801) 623-4771
- Mailing Address
- 1835 N 1120 W PROVO, UT 84604
- Mailing Phone
- (801) 623-4770
- Mailing Fax
- (801) 623-4771
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2012
- Last Update Date
- 06-25-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- License No.
- 5828209-6009
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | 5828209-6009 (UT) |
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326304023, enumerated as an "organization" on April 06, 2012.
The provider is located at 1835 N 1120 W PROVO, UT 84604 and the phone number is (801) 623-4770.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
