Healthcare Provider Details

I. General information

NPI: 1235843509
Provider Name (Legal Business Name): CALMING MIND COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9140 S STATE ST STE 201
SANDY UT
84070-2694
US

IV. Provider business mailing address

192 E LAKESIDE CT
SARATOGA SPRINGS UT
84045-6501
US

V. Phone/Fax

Practice location:
  • Phone: 408-375-3311
  • Fax:
Mailing address:
  • Phone: 408-375-3311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARISSA E SHERMAN
Title or Position: OWNER
Credential: CMHC
Phone: 408-375-3311