Active NPI
Life Launch Centers, LLC
- Clinical Social Worker
- St George, UT
National Provider Identifier
1407515760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIFE LAUNCH CENTERS, LLC
- Practice address
- 230 N 1680 E Ste J1
St George, UT 84790-2588 - Phone
- (435) 767-0552
- Fax
- (435) 767-0278
- NPI assigned
- Dec 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joni Dyches
- Title
- Financial Dir
- Phone
- (801) 803-8240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
230 N 1680 E Ste J1
St George, UT 84790-2588
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
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Hurricane, UT
- NPI 1255904678
-
- Clinical Social Worker
- St George, UT
- NPI 1407377757
-
dba Anxiety Trauma and Depression Treatment Center
- Clinical Social Worker
- Cedar City, UT
- NPI 1538732953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639440000000",
"number": "1407515760",
"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": "230 N 1680 E STE J1",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847902588",
"telephone_number": "435-767-0552",
"fax_number": "435-767-0278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE LAUNCH CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-07-22",
"status": "A",
"authorized_official_last_name": "DYCHES",
"authorized_official_first_name": "JONI",
"authorized_official_title_or_position": "FINANCIAL DIR",
"authorized_official_telephone_number": "801-803-8240"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.