LIFE STONE GROUP, LLC – NPI #1871829283
Clinic/Center

LIFE STONE GROUP, LLC is an AHC clinic located in MIDVALE, UT. NPPES has assigned the NPI number 1871829283 to LIFE STONE GROUP, LLC on October 20, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 7 years ago on Apr 16, 2019. 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 STONE GROUP, LLC below.

NPI Profile for
LIFE STONE GROUP, LLC

NPI Number
1871829283
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFE STONE GROUP, LLC
Primary location
613 E FORT UNION BLVD STE 104
MIDVALE, UT 84047
Phone: (801) 984-1717 Fax: (801) 984-1720
1 Other location(s):
150 S 400 E
American Fork, UT 84003-2510
Phone: (801) 980-7222
Fax: (801) 980-7223
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIE PETTIT
OWNER/PARTNER
Phone: (801) 984-1717
Updated
Taxonomy Code(s)

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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder		 UT 15893

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.