Organization Active NPI

Life Launch Centers, LLC

  • Clinical Social Worker
  • Hurricane, UT
National Provider Identifier
1255904678
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE LAUNCH CENTERS, LLC
Practice address
52 S 850 W Ste 202B
Hurricane, UT 84737-3361
Phone
(435) 862-3452
NPI assigned
Jul 22, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFE LAUNCH CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Joni Dyches
Title
Financial Director
Phone
(801) 803-8240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

52 S 850 W Ste 202B
Hurricane, UT 84737-3361

Mailing address

230 N 1680 E Ste J1
St George, UT 84790-2588
Phone (435) 767-0552

National Provider Directory

National Provider Directory
Tax ID family
Life Launch Centers LLC5 organizations share this tax ID, including this one
Part of
Life Launch Centers LLC

Other organizations with this tax ID 4

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

Locations

52 S 850 W
Ste 202B
Hurricane, UT 84737
Phone (435) 862-3452

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1255904678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE J1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902588",
            "telephone_number": "435-767-0552",
            "fax_number": "435-767-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 S 850 W STE 202B",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373361",
            "telephone_number": "435-862-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LAUNCH CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE LAUNCH CENTERS, LLC",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "DYCHES",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "801-803-8240"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.