Organization
LIVE FOR LIFE BEHAVIORAL HEALTH, LLC
Active
Other names
Live for Life Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SHAW (EXECUTIVE DIRECTOR)
(801) 666-6834
Entity
Organization
Contact information
Practice address
9045 S 1300 E # 200, SANDY, UT 84094-3134
(801) 666-6834
(801) 904-0272
Mailing address
9045 S 1300 E # 200, SANDY, UT 84094-3134
(801) 666-6834
(801) 904-0272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
12/23/2019
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