| Mind, Body, Soul Utah | |
|
699 E South Temple Ste 145 Salt Lake City UT 84102-4200 | |
| (801) 906-8780 | |
| Not Available |
| Full Name | Mind, Body, Soul Utah |
|---|---|
| Speciality | Social Worker |
| Location | 699 E South Temple Ste 145, Salt Lake City, Utah |
| Authorized Official Name and Position | Chuck Nuttall (LCSW) |
| Authorized Official Contact | 8019068780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind, Body, Soul Utah 699 E South Temple Ste 145 Salt Lake City UT 84102-4200 Ph: () - | Mind, Body, Soul Utah 699 E South Temple Ste 145 Salt Lake City UT 84102-4200 Ph: (801) 906-8780 |
| NPI Number | 1295119600 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295119600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 86376063502 (Utah) | Primary |
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