THERAPEUTIC LIFESTYLE CENTER OF UTAH
NPI 1770054348
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT

Active since December 07, 2018
1151 E 3900 S STE B175, SALT LAKE CITY, UT 84124(801) 691-7064 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Therapeutic Lifestyle Center Of Utah NPPES

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

THERAPEUTIC LIFESTYLE CENTER OF UTAH (NPI 1770054348) is a healthcare organization registered as a psychiatric/mental health in Salt Lake City, Utah and active in the NPI registry since December 2018. The organization lists Sasha Kihm, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1770054348
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHERAPEUTIC LIFESTYLE CENTER OF UTAH
Location Address1151 E 3900 S STE B175Salt Lake City, UT 84124-1255
Mailing Address1151 E 3900 S Ste B175Salt Lake City, UT 84124-1255
Organization SubpartNo
Authorized OfficialSasha KihmAdministrative Director · (801) 691-7064
Enumeration DateDecember 7, 2018
NPI 1770054348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1151 E 3900 S STE B175, Salt Lake City, UT 84124

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Therapeutic Lifestyle Center Of Utah's NPI number?

The NPI number for Therapeutic Lifestyle Center Of Utah is 1770054348. It was assigned to this organization in the NPPES registry on December 7, 2018.

Where is Therapeutic Lifestyle Center Of Utah located?

Therapeutic Lifestyle Center Of Utah is located at 1151 E 3900 S Ste B175, Salt Lake City, UT 84124. The listed phone number is (801) 691-7064.

What is Therapeutic Lifestyle Center Of Utah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Therapeutic Lifestyle Center Of Utah was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.