Provider Demographics
NPI:1659912574
Name:LIFEMATTERS COUNSELING AND HEALTH CENTER, INC
Entity Type:Organization
Organization Name:LIFEMATTERS COUNSELING AND HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:BUTTERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-313-0555
Mailing Address - Street 1:3336 S PIONEER PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-2085
Mailing Address - Country:US
Mailing Address - Phone:801-313-0555
Mailing Address - Fax:801-313-9669
Practice Address - Street 1:2225 E MURRAY HOLLADAY RD STE 112
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-5345
Practice Address - Country:US
Practice Address - Phone:801-313-0555
Practice Address - Fax:801-313-9669
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFEMATTERS COUNSELING AND HEALTH CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty