LIFE ENHANCEMENT CENTER – Community/Behavioral Health Agency, NPI 1083876734

LIFE ENHANCEMENT CENTER is a healthcare provider. based in Provo, Utah. specializing in Community/Behavioral Health Agency. The organization holds a License No. 6332186-0142 (UT). The NPI Number for LIFE ENHANCEMENT CENTER is 1083876734

Main info

Organization
Name
LIFE ENHANCEMENT CENTER
NPI
1083876734
Phone
(801) 623-4770
Address
1835 N 1120 W
Authorized Official
DR. RUSSELL C GAEDE EXECUTIVE DIRECTOR PSYD
Enumeration Date
25 June 2008
Last Update Date
25 June 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for LIFE ENHANCEMENT CENTER

  • 1835, North 1120 West, Grandview North, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846041180

    Phone: (801) 623-4770

    Fax: (801) 623-4771

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84604)

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Reviews

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Frequently asked questions

What number should I use to identify LIFE ENHANCEMENT CENTER for billing?
Administrative and clinical systems typically use NPI 1083876734 for LIFE ENHANCEMENT CENTER.
Does the public listing show LIFE ENHANCEMENT CENTER as active?
LIFE ENHANCEMENT CENTER's NPI record reflects an active status in NPPES.
What does the directory say LIFE ENHANCEMENT CENTER does?
Insurance directories may phrase it differently, but here LIFE ENHANCEMENT CENTER maps to Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What city is tied to LIFE ENHANCEMENT CENTER?
The directory associates LIFE ENHANCEMENT CENTER with Provo, Utah. Check all listed addresses for suites or satellite offices.
Why is information missing for LIFE ENHANCEMENT CENTER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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