Inside Wellness Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

356380-3501 Issued in UT

Legal business name

INSIDE WELLNESS MENTAL HEALTH LLC

Practice address

3325 N University Ave
Suite 275
Provo, UT 84604-4465

Phone

(801) 736-8228

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Wendy Jensen, L.C.S.W.

Title

Owner

Phone

(801) 376-8228

Specialties & licenses 1

Addresses

Other names 1

• Inside Wellness Doing business as

Locations

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1407209760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE",
            "address_2": "SUITE 275",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044465",
            "telephone_number": "801-736-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE",
            "address_2": "SUITE 275",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044465",
            "telephone_number": "801-736-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDE WELLNESS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-376-8228",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "356380-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inside Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Provo, UT
• Providers in Provo, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.