Organization Active NPI

Live Life Well Counseling

  • Clinical Social Worker
  • Springville, UT
National Provider Identifier
1417328030
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7114496-3501 Issued in UT
Legal business name
LIVE LIFE WELL COUNSELING
Practice address
1220 N Main St
Ste 3
Springville, UT 84663-4013
Phone
(801) 885-8391
NPI assigned
Oct 8, 2015
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Mary June Latu, LCSW
Title
Owner
Phone
(801) 885-8391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7114496-3501 UT Primary

Addresses

Primary practice location

1220 N Main St
Ste 3
Springville, UT 84663-4013

Mailing address

1066 W 1550 S
Springville, UT 84663-5913
Phone (801) 885-8391

National Provider Directory

National Provider Directory

Locations

1220 N Main St
Ste 3
Springville, UT 84663
Phone (801) 885-8391

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1417328030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 W 1550 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635913",
            "telephone_number": "801-885-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST",
            "address_2": "STE 3",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846634013",
            "telephone_number": "801-885-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LIFE WELL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "LATU",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-885-8391",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7114496-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.