| Wise Mind Behavioral Therapy | |
|
160 S 1000 E Ste 330 Salt Lake City UT 84102-1454 | |
| (801) 477-7004 | |
| Not Available |
| Full Name | Wise Mind Behavioral Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 160 S 1000 E Ste 330, Salt Lake City, Utah |
| Authorized Official Name and Position | Joshua Kivlovitz (THERAPIST) |
| Authorized Official Contact | 8014777004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Behavioral Therapy 160 S 1000 E Ste 330 Salt Lake City UT 84102-1454 Ph: (801) 477-7004 | Wise Mind Behavioral Therapy 160 S 1000 E Ste 330 Salt Lake City UT 84102-1454 Ph: (801) 477-7004 |
| NPI Number | 1740873355 |
|---|---|
| Provider Enumeration Date | 02/15/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740873355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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