Life Enhancement Center

LBN: Life Enhancement Center
Life Enhancement Center is an health care organization with primary practice located at 1835 N 1120 W , Provo UT 84604-1180. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Life Enhancement Center can be contacted via phone (801) 623-4770, or through Mangum, Shelley via phone (801) 796-0620.

Contact Information

Primary practice address
1835 N 1120 W Provo UT 84604-1180
Phone: (801) 623-4770
Fax: (801) 623-4771
Website:
Map and Directions
Authorized official contact:
Name: Mangum, Shelley ACMHC
Phone: (801) 796-0620

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 5828209-6009
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 5828209-6009 Utah

Profile Details

NPI number 1326304023
LBN Legal business name Life Enhancement Center
DBA Doing business as
Authorized official Mangum, Shelley ACMHC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2012
Last updated Jun 25th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers