Healthcare Provider Details

I. General information

NPI: 1982510160
Provider Name (Legal Business Name): A BEAUTIFUL LIFE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 N 290 W
LINDON UT
84042-5001
US

IV. Provider business mailing address

422 S MURDOCK DR
PLEASANT GROVE UT
84062-3278
US

V. Phone/Fax

Practice location:
  • Phone: 385-233-6606
  • Fax:
Mailing address:
  • Phone: 385-233-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA COBURN
Title or Position: OWNER/ADMINISTRATOR
Credential: LCSW
Phone: 801-319-6769