Mindful Mental Health of Utah LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL MENTAL HEALTH OF UTAH LLC

Practice address

3976 Silverstone Rd
Mountain Green, UT 84050-9724

Phone

(801) 648-7530

Fax

(801) 648-7493

NPI assigned

Jul 28, 2022

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blaine Murray

Title

Co-Owner

Phone

(853) 350-1081

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1922734391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 SILVERSTONE RD",
            "city": "MOUNTAIN GREEN",
            "state": "UT",
            "postal_code": "840509724",
            "telephone_number": "801-648-7530",
            "fax_number": "801-648-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 SILVERSTONE RD",
            "city": "MOUNTAIN GREEN",
            "state": "UT",
            "postal_code": "840509724",
            "telephone_number": "801-648-7530",
            "fax_number": "801-648-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MENTAL HEALTH OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "853-350-1081"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Mountain Green, UT
• Providers in Mountain Green, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.