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Organization
MIND FULL THERAPY, LLC
Active
Organization
MIND FULL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDYL M LEASURE CMHC (OWNER)
(801) 828-6139
Entity
Organization
Contact information
Practice address
2605 E 3300 S, SLC, UT 84109-2728
(801) 828-6139
Mailing address
2827 S WAINWRIGHT RD, SALT LAKE CITY, UT 84109-1819
(801) 828-6139
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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