| Life Renewal Therapy | |
|
526 W Center St Ste N104 Pleasant Grove UT 84062-3360 | |
| (801) 436-6747 | |
| Not Available |
| Full Name | Life Renewal Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 526 W Center St Ste N104, Pleasant Grove, Utah |
| Authorized Official Name and Position | David Thompson (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8013192041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Renewal Therapy 146 N 765 E Pleasant Grove UT 84062-2879 Ph: (801) 319-2041 | Life Renewal Therapy 526 W Center St Ste N104 Pleasant Grove UT 84062-3360 Ph: (801) 436-6747 |
| NPI Number | 1558259218 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 06/24/2025 |
| Certification Date | 06/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558259218 | NPI | - | NPPES |
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