Organization · Type 2 NPI
Therapeutic Lifestyle Center of Utah
Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT
NPI number
1770054348
Active
Practice location
1151 E 3900 S Ste B175
Salt Lake City, UT 84124-1255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770054348
Therapeutic Lifestyle Center of Utah's National Provider Identifier is 1770054348, issued on Dec 7, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 7, 2018.