| Life Stone Group, LLC | |
|
613 E Fort Union Blvd Ste 104 Midvale UT 84047 | |
| (801) 984-1717 | |
| (801) 984-1720 |
| Full Name | Life Stone Group, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 613 E Fort Union Blvd Ste 104, Midvale, Utah |
| Authorized Official Name and Position | Julie A. Pettit (OWNER/PARTNER) |
| Authorized Official Contact | 8019841717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Stone Group, LLC 613 E Fort Union Blvd Ste 104 Midvale UT 84047-5531 Ph: (801) 984-1717 | Life Stone Group, LLC 613 E Fort Union Blvd Ste 104 Midvale UT 84047 Ph: (801) 984-1717 |
| NPI Number | 1871829283 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871829283 | NPI | - | NPPES |
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