NPIMap

Organization Active NPI

Life Balance Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spanish Fork, UT
National Provider Identifier
1194392670
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LIFE BALANCE RECOVERY
Practice address
1291 Expressway LN
Spanish Fork, UT 84660-1333
Phone
(801) 367-0394
NPI assigned
Jun 4, 2021
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFE BALANCE RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chelsie Laurie DurdenNPI 1851661680
Title
Owner
Phone
(801) 367-0394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1291 Expressway LN
Spanish Fork, UT 84660-1333

Mailing address

1291 Expressway LN
Spanish Fork, UT 84660-1333
Phone (801) 367-0394

Other practice location 1

90 W 100 N
Price, UT 84501-2448
Phone (801) 367-0394

National Provider Directory

National Provider Directory
Tax ID family
Life Balance2 organizations share this tax ID, including this one
Part of
Life Balance

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

90 W 100 N
Price, UT 84501
Phone (801) 367-0394

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1194392670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 EXPRESSWAY LN",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601333",
            "telephone_number": "801-367-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 EXPRESSWAY LN",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601333",
            "telephone_number": "801-367-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 W 100 N",
            "address_purpose": "LOCATION",
            "city": "Price",
            "state": "UT",
            "postal_code": "845012448",
            "country_code": "US",
            "telephone_number": "801-367-0394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE BALANCE RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE BALANCE RECOVERY",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "DURDEN",
        "authorized_official_first_name": "CHELSIE",
        "authorized_official_middle_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-367-0394"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.