Organization
LIFE MATTERS COUNSELING AND PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA MANSOUR PHD (OWNER)
(801) 232-1161
Entity
Organization
Contact information
Practice address
1433 N 1075 W STE 120, FARMINGTON, UT 84025-2746
(801) 232-1161
Mailing address
1170 SHEPARD CRK PKWY, FARMINGTON, UT 84025-2851
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8781073-2504
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000087420
MEDICARE
UT
Enumeration date
11/14/2014
Last updated
06/05/2025
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