MINDFULLY LLC NPI 1124747027

NPI Information

NPI: 1124747027
Provider Name: MINDFULLY, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
222 S MAIN ST FL 5
SALT LAKE CITY, UT
ZIP 84101
Phone: (888) 830-0347
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MINDFULLY, LLC is a mental health counselor in Salt Lake City, UT. MINDFULLY, LLC NPI is 1124747027. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

222 S MAIN ST FL 5
SALT LAKE CITY, UT
ZIP 84101-185
Phone: (888) 830-0347
Fax: (513) 939-0310

The provider's authorized official is Charles K Roberts .
The authorized official title is President and has the following contact phone number (513) 939-0300.

The enumeration date for this NPI number is 8/24/2022 and was last updated on 8/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	1041C0700X	Social Worker	Clinical	No
3	106H00000X	Marriage & Family Therapist		No
4	171M00000X	Case Manager/Care Coordinator		No
5	175T00000X	Peer Specialist		No
6	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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