Healthcare Provider Details

I. General information

NPI: 1770492274
Provider Name (Legal Business Name): EMPOWERING MINDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 E EXECUTIVE PARK DR STE B
MURRAY UT
84117-3548
US

IV. Provider business mailing address

5414 W DAYBREAK PKWY STE C4
SOUTH JORDAN UT
84009-5905
US

V. Phone/Fax

Practice location:
  • Phone: 385-355-0830
  • Fax:
Mailing address:
  • Phone: 385-355-0830
  • 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: LAURA RUSSELL
Title or Position: DIRECTOR/THERAPIST
Credential: CMHC
Phone: 385-355-0830