LIFE INTEGRATIVE HEALTH CENTER – NPI #1063833721
Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
LIFE INTEGRATIVE HEALTH CENTER is an AHC clinic located in PROVO, UT. NPPES has assigned the NPI number 1063833721 to LIFE INTEGRATIVE HEALTH CENTER on December 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is THETA WELLNESS CENTER - PROVO. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.
The NPI profile was previously updated about 12 years ago on Apr 09, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFE INTEGRATIVE HEALTH CENTER below.
NPI Profile for
LIFE INTEGRATIVE HEALTH CENTER
(more than 12 years ago)
SUITE 104
PROVO, UT 84601-1541 Phone: (801) 869-8199 Fax: (801) 705-0436
PROVO, UT 84601-1541 Phone: (801) 869-8199 Fax: (801) 705-0436
CLINICAL ADMINISTRATOR
Phone: (801) 869-8199
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261Q00000X - Clinic/Center (Primary) |
||
| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health |
UT | NOT REQUIRED |
| 261QM0850X - Clinic/Center / Adult Mental Health |
UT | 00000000000 |
| 261QH0100X - Clinic/Center / Health Service |
UT | 0000000 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.