MIND AND BODY INTEGRATION (NPI# 1689198715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689198715 |
| Entity Type | Organization |
| Organization Name | MIND AND BODY INTEGRATION |
| Practice Address |
4950 S 2475 W Ste 100 Taylorsville UT 84129-1810 |
| Practice Telephone | (801) 660-7996 |
| Mailing Telephone | 8016607996 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | MANDALINA MCCLURE (OWNER) |
| Authorized Official Telephone | 8016607996 |
| Authorized Official Credential | LCMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932738028 | Mind and Body Integration | Clinic/Center | 1972 W 5400 S, Taylorsville, UT 84129-1459 | 2020-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MIND AND BODY INTEGRATION | 1675 Sw Marlow Ste 303, Portland, OR 97225 |
| Street Address |
4950 S 2475 W STE 100 |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84129-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
| 1184981201 | Intermountain Community Supports and Services, LLC | In Home Supportive Care | 5104 Heritage Cove, Taylorsville, UT 84129 | 2012-04-13 |
| 1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
| 1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
| 1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
| 1851866735 | Katie Nicholls | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129 | 2018-10-08 |
| 1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
| Find all providers in zip 84129 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666110 | Annie Jacobs | Counselor | 6210 S 3200 W, Taylorsville, UT 84129-6536 | 2019-12-20 |
| 1710520267 | Laura B Rodriguez | Counselor | 2880 W 4700 S Ste G1, Taylorsville, UT 84129-2156 | 2019-10-28 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1346793999 | Shari Harwood Counseling | Counselor | 5681 S Redwood Rd Unit 24, Taylorsville, UT 84123-5484 | 2016-08-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1710354196 | Tina Annette Brady | Counselor | 6363 S Faust Way, Taylorsville, UT 84129-6359 | 2015-09-01 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1578825519 | Justin Dean Gough | Counselor | 2904 Midwest Dr, Taylorsville, UT 84129-2555 | 2012-06-14 |
| 1851690820 | Daniel John Musto | Counselor | 5686 S Redwood Rd, Bldg 28 B, Taylorsville, UT 84123-5394 | 2011-03-16 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84129 |
Please comment or provide details below to improve the information on MIND AND BODY INTEGRATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.