# EXPANDED MIND PSYCHIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003667114
- **Authorized official:** JENA MARIE THOMAS APRN (OWNER)
- **Authorized official phone:** (435) 862-6689

## Contact information

- **Practice address:** 736 S 900 E STE 203D, SAINT GEORGE, UT 84790-7000
- **Practice address phone:** (435) 252-4884
- **Practice address fax:** (435) 252-0846
- **Mailing address:** 7533 S CENTER VIEW CT STE N, WEST JORDAN, UT 84084-5526
- **Mailing address phone:** (435) 862-6689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2024
- **Last updated:** 09/03/2026