# FROSTED MAGIC MIND AND BODY PLLC

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

## Provider details

- **NPI number:** 1063325140
- **Authorized official:** TREASURE LILY LUNDSKOG LCSW (OWNER)
- **Authorized official phone:** (801) 935-5715

## Contact information

- **Practice address:** 1100 E SOUTH UNION AVE, MIDVALE, UT 84047-2904
- **Practice address phone:** (385) 437-0789
- **Mailing address:** 1100 E SOUTH UNION AVE, MIDVALE, UT 84047-2904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2026
- **Last updated:** 09/28/2026