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NPI Code Detail

MEDICARE: WELLNESS MINDSET

MEDICARE: WELLNESS MINDSET
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1548906688
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS MINDSET
Provider Business Mailing Address
First Line : 4645 MIDLAND DR STE 2
Second Line :
City : WEST HAVEN
State : UT
Zip : 84401-6825
Country : US
Telephone Number : 801-332-9139
Fax Number : 385-855-2132
Provider Business Practice Location Address
First Line : 4645 MIDLAND DR STE 2
Second Line :
City : WEST HAVEN
State : UT
Zip : 84401-6825
Country : US
Telephone Number : 801-814-1618
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NATHAN BROWN
Credential : LCSW
Telephone Number : 801-332-9139
Provider Enumeration Date : 05/11/2022
Last Update Date : 05/06/2026

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Directions to “WELLNESS MINDSET ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.