Mind Full Therapy, LLC

NPI #1336735232 in Slc, Utah

Provider Information

NPI Number: 1336735232
Entity Type: Organization
Organization Name: Mind Full Therapy, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 15, 2020
Last Updated: Dec 15, 2020

Practice Location

Address: 2605 E 3300 S
City: Slc
State: Utah
ZIP Code: 84109-2728
Phone: (801) 828-6139

Authorized Official

Name: MRS. KENDYL M LEASURE, CMHC
Title: OWNER
Phone: (801) 828-6139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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