# LIVE FOR LIFE ASPEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Live for Life Aspen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073155529
- **Authorized official:** TROY SHAW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (801) 666-6834

## Contact information

- **Practice address:** 179 W WINCHESTER ST, MURRAY, UT 84107-7237
- **Practice address phone:** (801) 666-6834
- **Mailing address:** 179 W WINCHESTER ST, MURRAY, UT 84107-7237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2019
- **Last updated:** 12/23/2019