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Organization
WHOLE MIND, LLC
Active
Organization
WHOLE MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS RAYNER (MEDICAL DIRECTOR)
(801) 477-7189
Entity
Organization
Contact information
Practice address
505 SAN MARIN DR STE 150B, NOVATO, CA 94945-1309
(801) 477-7189
(888) 745-9274
Mailing address
1221 S VALLEY GROVE WAY STE 160, PLEASANT GROVE, UT 84062-6758
(801) 477-7189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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