# LIVE FOR LIFE BEHAVIORAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1205484755
- **Authorized official:** TROY SHAW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (801) 666-6834

## Contact information

- **Practice address:** 9045 S 1300 E \# 200, SANDY, UT 84094-3134
- **Practice address phone:** (801) 666-6834
- **Practice address fax:** (801) 904-0272
- **Mailing address:** 9045 S 1300 E \# 200, SANDY, UT 84094-3134
- **Mailing address phone:** (801) 666-6834
- **Mailing address fax:** (801) 904-0272

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2019
- **Last updated:** 12/23/2019