| Wise Mind Online Therapy | |
|
915 N 510 E Orem UT 84097-3374 | |
| (208) 243-3332 | |
| Not Available |
| Full Name | Wise Mind Online Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 915 N 510 E, Orem, Utah |
| Authorized Official Name and Position | Travis Reed Stephens (OWNER / SHARE HOLDER) |
| Authorized Official Contact | 2082433332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Online Therapy 915 N 510 E Orem UT 84097-3374 Ph: (208) 243-3332 | Wise Mind Online Therapy 915 N 510 E Orem UT 84097-3374 Ph: (208) 243-3332 |
| NPI Number | 1891398285 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891398285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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