# MINDGYM NEUROFEEDBACK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mind Gym Neurofeedback
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013805860
- **Authorized official:** LEROY MATTICKS (OWNER)
- **Authorized official phone:** (720) 513-5092

## Contact information

- **Practice address:** 1123 E BROADWING LN APT 107, COTTONWOOD HEIGHTS, UT 84121-7628
- **Practice address phone:** (720) 290-0154
- **Mailing address:** 8008 E ARAPAHOE CT STE 100, CENTENNIAL, CO 80112-6839
- **Mailing address phone:** (720) 290-0154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2025
- **Last updated:** 11/15/2025