Lifeline Behavioral Health, Llc, NPI 1780884742
Children's Substance Abuse Rehabilitation Facility in North Salt Lake, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1780884742
NPI Entity Type Organization
Provider Name Lifeline Behavioral Health, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1130 W Center St, North Salt Lake, UT, US
Provider Mailing Address 1130 W Center St, North Salt Lake, UT, US, 840542917
Is Sole Proprietor? No
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Organization Official

Official Name MR. MBA Shane R Petersen
Official Position CHIEF EXECUTIVE OFFICER
Phone 801-936-4000

Primary Taxonomy

Taxonomy Code

3245S0500X

Taxonomy Name Children's Substance Abuse Rehabilitation Facility
Classification

Substance Abuse Rehabilitation Facility

Group

Residential Treatment Facilities

Description A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Other Organization Name

Lifeline for Youth
Doing Business As

Business Address

Lifeline Behavioral Health, Llc
1130 W Center St

North Salt Lake, UT, US

Phone: 801-936-4000

Mailing Address

Lifeline Behavioral Health, Llc
1130 W Center St
North Salt Lake, UT, US
ZIP 840542917
Phone: 801-936-4000

Secondary Taxonomies

Other Providers in UT, US

NPI Name Taxonomy Address

1902227101

PA-S James Ritch Benson

Individual

Student in an Organized Health Care Education/Training Program

1116 S River View Dr

Spanish Fork, UT

1821593013

MD Cara Chaudhary

Individual

Internal Medicine Physician

324 E 10th Ave Ste 245

Salt Lake City, UT

1639894009

Zussette Sanchez

Individual

Case Manager/Care Coordinator

251 E 200 N

Saint George, UT

1962127324

Jared Rust

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1326763780

Brinleigh Bishop

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1346525474

FNP-C Robert Wilson Ralston

Individual

Family Nurse Practitioner

830 N 980 W

Orem, UT

1639815483

Utah Wound Care And Hyperbaric Center Llc

Organization

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

209 E Gordon Ave Ste 1

Layton, UT

1720703184

Anna White

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1003531468

Gracie Gillman

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1407571854

Auriane Davis

Individual

Student in an Organized Health Care Education/Training Program

130 S Main St # 119a

Logan, UT

1467831263

Candice Yeaman

Individual

Mental Health Counselor

11075 S State St Ste 4

Sandy, UT

1073811071

Stephen Gordon Anderson

Individual

Marriage & Family Therapist

525 N 1080 E

Orem, UT

1023662400

PA Adam Christopher Garrett

Individual

Physician Assistant

1184 E 80 N

American Fork, UT

1396460721

Cole Mayoros

Individual

Community Health Worker

249 E Tabernacle St Ste 100

St George, UT

1497470827

Alayna Hill

Individual

Behavior Technician

1067 E Tabernacle St

St George, UT

1023733441

APRN Trisha Sears

Individual

Family Nurse Practitioner

4563 W Frary Rd

Syracuse, UT

1184349631

Empower You Therapy

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

12485 S 900 E

Draper, UT

1588389902

Damaris Villalobos

Individual

Community Health Worker

249 E Tabernacle St Ste 100

St George, UT

1760107189

Dylan Smart

Individual

Behavioral Analyst

8031 S 700 E

Sandy, UT

1609591007

Alexis Suzanne Goodwin

Individual

Behavior Technician

2025 S 50 W

Bountiful, UT

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