Life Launch Centers of South Salt Lake

NPI #1780343046 in Orem, Utah

Provider Information

NPI Number: 1780343046
Entity Type: Organization
Organization Name: Life Launch Centers of South Salt Lake
Subpart: Yes (part of a larger organization)
Parent Organization: LIFE LAUNCH CENTERS OF SOUTH SALT LAKE
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 14, 2021
Last Updated: Apr 28, 2025

Practice Location

Address: 383 N STATE ST STE 201&202
City: Orem
State: Utah
ZIP Code: 84057-4771
Phone: (801) 703-4830

Authorized Official

Name: JONI DYCHES
Title: FINANCIAL DIRECTOR
Phone: (801) 803-8240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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