| Mindful Mental Health Of Utah Llc | |
|
3976 Silverstone Rd Mountain Green UT 84050-9724 | |
| (801) 648-7530 | |
| (801) 648-7493 |
| Full Name | Mindful Mental Health Of Utah Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3976 Silverstone Rd, Mountain Green, Utah |
| Authorized Official Name and Position | Blaine Murray (CO-OWNER) |
| Authorized Official Contact | 8533501081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Mental Health Of Utah Llc 3976 Silverstone Rd Mountain Green UT 84050-9724 Ph: (801) 648-7530 | Mindful Mental Health Of Utah Llc 3976 Silverstone Rd Mountain Green UT 84050-9724 Ph: (801) 648-7530 |
| NPI Number | 1922734391 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 1759765720 |
|---|---|
| Medicare Enrollment ID | O20220825002162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922734391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Denise Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164781852 PECOS PAC ID: 2769774553 Enrollment ID: I20160715000051 |
| Provider Name | Matthew Michael Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437714292 PECOS PAC ID: 2961815022 Enrollment ID: I20210108001859 |
| Provider Name | Catherine Anne Edminster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497935373 PECOS PAC ID: 3375927668 Enrollment ID: I20220906002229 |
| Provider Name | Debra Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932118841 PECOS PAC ID: 2668370586 Enrollment ID: I20220913000002 |
| Provider Name | Yvette Dawna Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376606095 PECOS PAC ID: 7719362615 Enrollment ID: I20220913002487 |
| Provider Name | Clancy Halsted |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043837446 PECOS PAC ID: 0840679486 Enrollment ID: I20230306000594 |
| Provider Name | Danae S Koeper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568773240 PECOS PAC ID: 3072785765 Enrollment ID: I20230717000024 |
| Provider Name | Benjamin T Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083929251 PECOS PAC ID: 5294035044 Enrollment ID: I20231115000764 |
| Provider Name | Laurette Mary Bordeleau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922876788 PECOS PAC ID: 8224489570 Enrollment ID: I20240110005013 |
Amy Peters Therapy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3986 Lilac Ln, Mountain Green, UT 84050 Phone: 801-784-8074 Fax: 801-416-3132 |