| Igniting Change LLC | |
|
179 N 1200 E Ste 101 Lehi UT 84043-2148 | |
| (801) 806-4878 | |
| (877) 695-7720 |
| Full Name | Igniting Change LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 179 N 1200 E Ste 101, Lehi, Utah |
| Authorized Official Name and Position | Torrey Harmon (OWNER/THERAPIST) |
| Authorized Official Contact | 8013763664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Igniting Change LLC 179 N 1200 E Ste 101 Lehi UT 84043-2148 Ph: (801) 806-4878 | Igniting Change LLC 179 N 1200 E Ste 101 Lehi UT 84043-2148 Ph: (801) 806-4878 |
| NPI Number | 1073152021 |
|---|---|
| Provider Enumeration Date | 12/21/2019 |
| Last Update Date | 12/21/2019 |
| Certification Date | 12/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073152021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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