| Ideal Mindset Llc | |
|
Staples Connect Ogden 0703 4043 Riverdale Rd. #1138 Ogden UT 84405 | |
| (801) 999-1384 | |
| (385) 364-4055 |
| Full Name | Ideal Mindset Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | Staples Connect Ogden 0703, Ogden, Utah |
| Authorized Official Name and Position | Sarah T Porter (REGISTERED AGENT/MEMBER) |
| Authorized Official Contact | 8019991384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Mindset Llc Staples Connect Ogden 0703 4043 Riverdale Rd. #1138 Ogden UT 84405 Ph: (801) 999-1384 | Ideal Mindset Llc Staples Connect Ogden 0703 4043 Riverdale Rd. #1138 Ogden UT 84405 Ph: (801) 999-1384 |
| NPI Number | 1083317598 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083317598 | NPI | - | NPPES |
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