Organization Name: | LIFETECH CONSULTING |
NPI Number: | 1720340623 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REX ALAN SPENDLOVE (OWNER) |
Mailing Address: | 1635 N 200 E North Logan |
State: | UT US |
Postal Code: | 843411913 |
Phone Number: | 4352133687 |
Fax Number: | 4357537654 |
NPI Enumeration Date: | 06/15/2012 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7788192-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |