| Your Life Launch | |
|
1739 S Highway 89a Kanab UT 84741-3957 | |
| (928) 643-6000 | |
| (928) 643-6024 |
| Full Name | Your Life Launch |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1739 S Highway 89a, Kanab, Utah |
| Authorized Official Name and Position | Randy K Soderquist (OWNER) |
| Authorized Official Contact | 4356910856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Life Launch Po Box 61 Kanab UT 84741-0061 Ph: (928) 643-6000 | Your Life Launch 1739 S Highway 89a Kanab UT 84741-3957 Ph: (928) 643-6000 |
| NPI Number | 1326504523 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326504523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | () | Secondary |
Sphear Counseling, L.L.C. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 W Center St Unit A, Kanab, UT 84741 Phone: 435-319-0736 |
Michael Gurr, PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 N Main St, Kanab, UT 84741 Phone: 801-803-1227 |