Active NPI
Mind and Body Integrative Healing Center
- Professional Counselor
- Taylorsville, UT
National Provider Identifier
1447843644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MIND AND BODY INTEGRATIVE HEALING CENTER
- Doing business as
- Integrative Healing Centers of Utah
- Practice address
- 2860 W 4700 S Ste B
Taylorsville, UT 84129-2159 - Phone
- (385) 347-5976
- Fax
- (801) 905-1258
- NPI assigned
- Feb 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Wattson McClure
- Title
- Owner Partner
- Phone
- (801) 230-4051
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2860 W 4700 S Ste B
Taylorsville, UT 84129-2159
Mailing address
1935 W 4700 S Ste 330
Taylorsville, UT 84129-1105
Phone (385) 347-5976
Other names 1
- Integrative Healing Centers of Utah
National Provider Directory
National Provider DirectoryLocations
4546 S Atherton Dr
Ste 204
Taylorsville, UT 84123
1935 W 4700 S
Taylorsville, UT 84129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638316800000",
"number": "1447843644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 W 4700 S STE 330",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841291105",
"telephone_number": "385-347-5976",
"fax_number": "801-905-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 W 4700 S STE B",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841292159",
"telephone_number": "385-347-5976",
"fax_number": "801-905-1258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND AND BODY INTEGRATIVE HEALING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-18",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A",
"authorized_official_last_name": "MCCLURE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "WATTSON",
"authorized_official_title_or_position": "OWNER PARTNER",
"authorized_official_telephone_number": "801-230-4051"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrative Healing Centers of Utah",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.