Healthcare Provider Details

I. General information

NPI: 1386568350
Provider Name (Legal Business Name): EPIC MINDS THERAPY UT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W BROADWAY STE 700
SALT LAKE CITY UT
84101-2060
US

IV. Provider business mailing address

10 W BROADWAY STE 700
SALT LAKE CITY UT
84101-2060
US

V. Phone/Fax

Practice location:
  • Phone: 855-995-3742
  • Fax: 743-219-2148
Mailing address:
  • Phone: 855-995-3742
  • Fax: 743-219-2148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JOEL FRIED
Title or Position: CEO
Credential:
Phone: 855-995-3742