Life Launch Centers of South Salt Lake

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFE LAUNCH CENTERS OF SOUTH SALT LAKE

Doing business as

Anxiety Trauma and Depression Treatment Center

Practice address

383 N State St Ste 201&202
Orem, UT 84057-4771

Phone

(801) 703-4830

Fax

(435) 767-0278

NPI assigned

Dec 14, 2021

Organization subpart

Yes

Parent organization

LIFE LAUNCH CENTERS OF SOUTH SALT LAKEAs reported in NPPES

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 2

Addresses

Other names 1

• Anxiety Trauma and Depression Treatment Center Doing business as

Tax ID family

Life Launch Centers of South Salt Lake2 organizations share this tax ID, including this one

Part of

Life Launch Centers of South Salt Lake

Other organizations with this tax ID 1

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

• Life Launch Centers of South Salt Lake

  dba Anxiety Trauma and Depression Treatment Center

  • Clinical Social Worker
  • West Jordan, UT
  • NPI 1336705292
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Life Launch Centers of South Salt Lake

  dba Anxiety Trauma and Depression Treatment Center

  • Clinical Social Worker
  • West Jordan, UT
  • NPI 1336705292
  NPPES parent name

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1780343046",
    "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": "801-703-4830",
            "fax_number": "435-767-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 N STATE ST STE 201&202",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574771",
            "telephone_number": "801-703-4830",
            "fax_number": "435-767-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LAUNCH CENTERS OF SOUTH SALT LAKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE LAUNCH CENTERS OF SOUTH SALT LAKE",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anxiety Trauma and Depression Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maison Thamar Lewis
• Randi Susan Lewis, P.T.
• Jory Art Liddiard, MOT, OTR/L
• Life Chiropractic
• Life Empowered Therapy Services, LLC
• Life Rescue Foundation
• Lifetime Products Inc
• Shauna Light, ACHMC
• Leslie L Lilino, MA, BCBA
• Dan Ross Lillywhite, D.P.T.

• Clinical Social Worker in Orem, UT
• Providers in Orem, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.