Organization · Type 2 NPI

Life Launch Centers of South Salt Lake

Clinical Social Worker · West Jordan, UT

NPI number 1336705292 Active

Practice location

9289 S Redwood Rd Ste D&e
West Jordan, UT 84088-6730

Call (833) 803-3883 Map

Fax (435) 767-0278

Mailing address

230 N 1680 E Ste J1
St. George, UT 84790-2588

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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NPI record

NPI: 1336705292
Entity type: Organization (Type 2)
Issued: May 16, 2019
Last updated: Apr 28, 2025
Status: Active

Other names

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Anxiety Trauma and Depression Treatment Center · doing business as
Life Launch Centers of South Salt Lake · doing business as

Authorized official

Joni L Dyches
Owner/cfo
(801) 803-8240

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336705292

Life Launch Centers of South Salt Lake's National Provider Identifier is 1336705292, issued on May 16, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Jordan, UT. The record was last updated on Apr 28, 2025.