| Inclusive Minded Counseling & Consulting, Llc | |
|
3763 S Secord St South Salt Lake UT 84115-4771 | |
| (801) 210-1686 | |
| Not Available |
| Full Name | Inclusive Minded Counseling & Consulting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3763 S Secord St, South Salt Lake, Utah |
| Authorized Official Name and Position | Martha Lilia Soto Ceballos (OWNER & THERAPIST) |
| Authorized Official Contact | 8012109159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusive Minded Counseling & Consulting, Llc 5495 S 4015 W Unit 18156 Salt Lake City UT 84118-9407 Ph: () - | Inclusive Minded Counseling & Consulting, Llc 3763 S Secord St South Salt Lake UT 84115-4771 Ph: (801) 210-1686 |
| NPI Number | 1104643501 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104643501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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