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LIFE STONE GROUP, LLC
NPI 1871829283
Clinic/Center - Mental Health (Including Community Mental Health Center) in Midvale, UT

Active since October 20, 2009
613 E FORT UNION BLVD STE 104, MIDVALE, UT 84047(801) 984-1717(801) 984-1720 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Life Stone Group, Llc NPPES

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

LIFE STONE GROUP, LLC (NPI 1871829283) is a healthcare organization registered as a mental health (including community mental health center) in Midvale, Utah and active in the NPI registry since October 2009. The organization maintains a secondary practice location in American Fork and lists Julie A. Pettit, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1871829283
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIFE STONE GROUP, LLC
Location Address613 E FORT UNION BLVD STE 104Midvale, UT 84047
Mailing Address613 E Fort Union Blvd Ste 104Midvale, UT 84047-5531 · (801) 984-1717 · Fax (801) 984-1720
Phone(801) 984-1717
Fax(801) 984-1720
Organization SubpartNo
Authorized OfficialJulie A. PettitOwner/partner · (801) 984-1717
Enumeration DateOctober 20, 2009
Last NPPES UpdateApril 16, 2019
✔ NPI 1871829283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 15893 (UT)
613 E FORT UNION BLVD STE 104, Midvale, UT 84047
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Secondary Practice Location 1

Location 1150 S 400 EAmerican Fork, UT 84003-2510 · Phone (801) 980-7222 · Fax (801) 980-7223

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Other Providers at the Same Location NPPES 17

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

AMY GILLESPIE LCSW
Social Worker (Clinical)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Salt Lake County (801) 984-1717
TRIONA MCMASTER
Social Worker (Clinical)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Salt Lake County (801) 984-1717
DANETTE LEE LARSEN CMHC
Counselor (Mental Health)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Salt Lake County (801) 984-1717
PAIGE NICOLE GUTZMAN CMHC
Counselor (Mental Health)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Salt Lake County (801) 984-1717
LISA SOVINSKY LCSW
Social Worker (Clinical)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Salt Lake County (801) 984-1717
ALLISON GRACE CIRENZA
Nurse Practitioner (Psychiatric/Mental Health)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Salt Lake County (801) 984-1717
KERI DAWN ENGER LCSW
Social Worker (Clinical)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Salt Lake County (801) 984-1717
BRIAN PULSIPHER LCSW
Social Worker (Clinical)
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Salt Lake County (801) 984-1717

Frequently Asked Questions

What is LIFE STONE GROUP, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1871829283, enumerated as an "organization" on October 20, 2009.

Where is the provider located?

The provider is located at 613 E FORT UNION BLVD STE 104 MIDVALE, UT 84047 and the phone number is (801) 984-1717.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

What insurance does LIFE STONE GROUP, LLC accept?

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.