Healthcare Provider Details

I. General information

NPI: 1548912488
Provider Name (Legal Business Name): MIND AND HEALTH PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 W 2710 SOUTH CIR STE 202A
SAINT GEORGE UT
84790-7205
US

IV. Provider business mailing address

9414 N CANYON HEIGHTS DR
CEDAR HILLS UT
84062-8812
US

V. Phone/Fax

Practice location:
  • Phone: 435-849-8577
  • Fax:
Mailing address:
  • Phone: 801-822-7725
  • Fax: 801-405-7694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID BURT LINDSAY
Title or Position: OWNER
Credential: APRN, PMHNP-BC
Phone: 801-822-7725