Organization
CIRCLE OF LIFE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBIE RICCARDELLI (OWNER)
(801) 331-6775
Entity
Organization
Contact information
Practice address
3375 W MAYFLOWER WAY, SUITE A, LEHI, UT 84043-3134
(801) 331-6775
Mailing address
3375 W MAYFLOWER WAY, SUITE A, LEHI, UT 84043-3134
(801) 331-6775
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
369760-6004
UT
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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