Healthcare Provider Details

I. General information

NPI: 1730097593
Provider Name (Legal Business Name): MINDQUEST COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 N MAIN ST STE 222
LAYTON UT
84041-4882
US

IV. Provider business mailing address

1133 N MAIN ST STE 222
LAYTON UT
84041-4882
US

V. Phone/Fax

Practice location:
  • Phone: 801-510-5049
  • Fax:
Mailing address:
  • Phone: 801-510-5049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MALLORIE BORUP
Title or Position: OWNER
Credential: LCSW
Phone: 801-510-5049