Life Tree Psychiatry

LBN: Life Tree Pllc
Life Tree Psychiatry is an health care organization with primary practice located at 251 W State Road 198 Ste 3 , Salem UT 84653-5608. The organization recently has 7 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Life Tree Pllc can be contacted via phone (801) 504-6665, or through Hooton, Josh via phone (805) 504-6665.

Contact Information

Primary practice address
251 W State Road 198 Ste 3 Salem UT 84653-5608
Phone: (801) 504-6665
Fax: (801) 504-9073
Website:
Map and Directions
Authorized official contact:
Name: Hooton, Josh DNP, FNP-C, PMHNP-BC
Phone: (805) 504-6665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X 6227164-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1982135265
LBN Legal business name Life Tree Pllc
DBA Doing business as Life Tree Psychiatry
Authorized official Hooton, Josh DNP, FNP-C, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2017
Last updated Oct 21st, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982135265 NPPES
Other 2019033956 ANCC PMHNP BOARD CERTIFICATION

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