| Mind Your Nature | |
|
1700 Park Ave Ste 2065 Park City UT 84060-5162 | |
| (435) 659-4508 | |
| (435) 214-2529 |
| Full Name | Mind Your Nature |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1700 Park Ave Ste 2065, Park City, Utah |
| Authorized Official Name and Position | Janice M. Speicher (PRESIDENT) |
| Authorized Official Contact | 4356594508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Your Nature Po Box 981145 1700 Park Ave #2065 Park City UT 84098-1145 Ph: (435) 659-4508 | Mind Your Nature 1700 Park Ave Ste 2065 Park City UT 84060-5162 Ph: (435) 659-4508 |
| NPI Number | 1730420548 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730420548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 120742-600490 (Utah) | Primary |
| 101YM0800X | Counselor - Mental Health | 6647064-6004 (Utah) | Secondary |
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