Wise Mind Online Therapy

NPI #1891398285 in Orem, Utah

Provider Information

NPI Number: 1891398285
Entity Type: Organization
Organization Name: Wise Mind Online Therapy
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 915 N 510 E
City: Orem
State: Utah
ZIP Code: 84097-3374
Phone: (208) 243-3332

Authorized Official

Name: MR. TRAVIS REED STEPHENS, LCSW
Title: OWNER / SHARE HOLDER
Phone: (208) 243-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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