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Organization
LIVE STRONG HOUSE LLC
Active
Organization
LIVE STRONG HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPALDING LCSW (CLINICAL DIRECTOR)
(801) 725-7451
Entity
Organization
Contact information
Practice address
2276 W 2700 S, SYRACUSE, UT 84075
(801) 725-7451
Mailing address
2276 W 2700 S, SYRACUSE, UT 84075-9001
(801) 725-7451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
11/28/2017
Last updated
04/01/2026
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