Mind, Body, Soul, Utah

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND, BODY, SOUL, UTAH

Practice address

699 E South Temple
Suite 300
Salt Lake City, UT 84102-1142

Phone

(801) 906-8780

NPI assigned

Jul 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Nuttall, LCSW

Title

Owner

Phone

(801) 906-8780

Specialties & licenses 1

Addresses

Tax ID family

Mind Body Soul Utah2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mind, Body, Soul Utah

  • Social Worker
  • Salt Lake City, UT
  • NPI 1295119600
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1407169907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE",
            "address_2": "SUITE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021142",
            "telephone_number": "801-906-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE",
            "address_2": "SUITE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021142",
            "telephone_number": "801-906-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND, BODY, SOUL, UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "NUTTALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-906-8780",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Elizabeth Mincy
• Mind Set Meds LLC
• Mind Stretch Psychology PLLC
• Mind, Body & Spirit Counseling LLC
• Mind, Body, Soul Utah
• Camille Michael Minder, M.D.
• Mindful Healing LLC
• Mindful Infusions
• Mindfully Rooted
• Mindfully, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.