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Organization
LIFE TREE PLLC
Active
Organization
LIFE TREE PLLC
Active
Other names
Life Tree Psychiatry, Life Tree
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSH HOOTON DNP, FNP-C, PMHNP-BC (OWNER/PROVIDER)
(805) 504-6665
Entity
Organization
Contact information
Practice address
45 W 100 S, SALEM, UT 84653-9459
(801) 504-6665
(801) 504-6073
Mailing address
45 W 100 S, SALEM, UT 84653-9459
(801) 504-6665
(801) 504-6073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
6227164-4405
UT
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019033956
ANCC PMHNP BOARD CERTIFICATION
—
01
—
F0913157
AANP-FNP-C
—
Enumeration date
03/27/2017
Last updated
09/01/2026
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