MEDICARE: AFFIRMATIVE LIFE SKILLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1821762923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFIRMATIVE LIFE SKILLS

Provider Business Mailing Address
First Line	:	1130 W GOLDENROD CIR
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84790-7512
Country	:	US
Telephone Number	:	435-261-8160
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 N 900 E STE 3
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-3265
Country	:	US
Telephone Number	:	435-261-8160
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VAL HENRIE JOHNSON
Credential	:	LCSW
Telephone Number	:	435-261-8160

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	09/23/2021

Similar Medicare Providers

1114400876 — DMBC LLC
Practice Location Address:

135 N 900 E STE 3
SAINT GEORGE, UT
84770-3265

Practice Phone: 435-429-1407
Practice Fax:

1790840296 — MRS. TRACY WILSON
Practice Location Address:

2422 SAINT GEORGE WAY
BROOKEVILLE, MD
20833-3265

Practice Phone: 301-570-8415
Practice Fax: 301-570-8415

1386357051 — TAYLOR PHARMACY GROUP, INC.
Practice Location Address:

12995 FLORIDA AVE STE B
SAINT GEORGE, GA
31562-3265

Practice Phone: 912-843-8280
Practice Fax: 912-843-2456

1083699359 — DR. ROBERT P TOMKIEWICZ MD
Practice Location Address:

6125 CLAYTON AVE , #119
SAINT LOUIS, MO
63139-3265

Practice Phone: 314-645-8823
Practice Fax: 314-645-5018

1538118492 — FOREST PARK HOSPITAL CORP #1
Practice Location Address:

6125 CLAYTON AVE , STE 222
SAINT LOUIS, MO
63139-3265

Practice Phone: 314-768-3685
Practice Fax: 314-768-3940

1346293297 — DR. ANN LESLEY MCLAREN MD
Practice Location Address:

6125 CLAYTON AVE , STE 222
SAINT LOUIS, MO
63139-3265

Practice Phone: 314-768-3685
Practice Fax: 314-768-3940

Directions to “AFFIRMATIVE LIFE SKILLS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.