Organization
Life Integrative Health Center
Provider's NPPES record last updated: April 9, 2014
Overview
- Entity Type
- Organization
- NPI
- 1063833721
- Primary Specialty
- Clinic/Center
- Practice Location
- Provo, Utah
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:27 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Ambulatory Health Care Facilities
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Taxonomy code 261Q00000X Clinic/Center
Health Service
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QH0100XClinic/Center
Adult Mental Health
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Taxonomy code 261QM0850XClinic/Center
Adolescent and Children Mental Health
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Taxonomy code 261QM0855X
Provider-Reported License Information
- Clinic/Center (Utah)
- NOT REQUIRED
- Clinic/Center (Utah)
- 0000000
- Clinic/Center (Utah)
- NOT REQUIRED
- Clinic/Center (Utah)
- 00000000000
- Clinic/Center (Utah)
- NOT REQUIRED
Practice Locations
Practice Location
777 N 500 W
Suite 104
Provo, Utah 84601-1541
Phone: (801) 869-8199
Other Names
- Theta Wellness Center - ProvoReported December 26, 2013
Record Information
- Enumeration Date
- December 26, 2013
- Provider's NPPES Record Last Updated
- April 9, 2014
- NPISignal NPPES Dataset
- August 2026
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