Provider Demographics
NPI:1316542319
Name:LIFE FAMILY MATTERS LLC
Entity Type:Organization
Organization Name:LIFE FAMILY MATTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-870-7422
Mailing Address - Street 1:1046 CLUB HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:UT
Mailing Address - Zip Code:84066-2203
Mailing Address - Country:US
Mailing Address - Phone:801-870-7422
Mailing Address - Fax:
Practice Address - Street 1:3325 N UNIVERSITY AVE STE 375
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-7418
Practice Address - Country:US
Practice Address - Phone:801-870-7422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty