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NPI Code Detail

MEDICARE: MIND MATTERS COUNSELING LLC

MEDICARE: MIND MATTERS COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
21041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144078320
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIND MATTERS COUNSELING LLC
Provider Business Mailing Address
First Line : 1230 E PRIVET DR UNIT 4-427
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-7621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 59 W 9000 S
Second Line :
City : SANDY
State : UT
Zip : 84070-2008
Country : US
Telephone Number : 801-251-6077
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANDREW ERIC MUNOZ
Credential : LCSW
Telephone Number : 801-251-6077
Provider Enumeration Date : 05/10/2024
Last Update Date : 05/10/2024

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Directions to “MIND MATTERS COUNSELING LLC ” Practice Location

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