Provider Demographics
NPI:1497414817
Name:LIVING YOUR BEST LIFE THERAPY, LLC
Entity type:Organization
Organization Name:LIVING YOUR BEST LIFE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAROM
Authorized Official - Middle Name:NORRIS
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-735-5927
Mailing Address - Street 1:781 E 1300 N
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-1996
Mailing Address - Country:US
Mailing Address - Phone:801-735-5927
Mailing Address - Fax:
Practice Address - Street 1:781 E 1300 N
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-1996
Practice Address - Country:US
Practice Address - Phone:801-735-5927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty