Provider Demographics
NPI:1013717842
Name:LIFE LAUNCH CENTERS
Entity type:Organization
Organization Name:LIFE LAUNCH CENTERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:OAK
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:512-913-6380
Mailing Address - Street 1:230 N 1680 E STE J1
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2588
Mailing Address - Country:US
Mailing Address - Phone:801-803-8240
Mailing Address - Fax:435-767-0278
Practice Address - Street 1:596 W 750 S STE 300
Practice Address - Street 2:
Practice Address - City:WOODS CROSS
Practice Address - State:UT
Practice Address - Zip Code:84010-7271
Practice Address - Country:US
Practice Address - Phone:801-803-8240
Practice Address - Fax:435-767-0278
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFE LAUNCH CENTEERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-19
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty