LIFE ENHANCEMENT CENTER
Ambulatory Health at 1120, Provo, UT

License number
Utah 5828209-6009
Category
Ambulatory Health
Type
Adult Mental Health
License number
Utah 5828209-6009
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: MRS. SHELLEY MANGUM ACMHC
Title: ASS. CLINICAL MENTAL HEALTH COUNSEL
Phone: (801) 796-0620
Address
Address
1835 N 1120 W, Provo, UT 84604
National Provider ID: 1326304023
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LIFE ENHANCEMENT CENTER at bizstanding.com

Life Enhancement Center, Inc

1835 N 1120 W, Provo, UT 84604

Industry:
Individual/Family Services
Executive Directors:
Jason King (Principal, Psychologist),Russell C. Gaede (Executive Director)

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