# BODY AND MIND COLLECTIVE, LLC

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

## Provider details

- **NPI number:** 1649073404
- **Authorized official:** ANDRAYA SALCIDO LCSW (OWNER/MANAGER)
- **Authorized official phone:** (801) 708-7781

## Contact information

- **Practice address:** 4190 S HIGHLAND DR STE 107, MILLCREEK, UT 84124-2600
- **Practice address phone:** (801) 708-7781
- **Mailing address:** 4190 S HIGHLAND DR STE 107, MILLCREEK, UT 84124-2600
- **Mailing address phone:** (801) 708-7781

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2025
- **Last updated:** 03/28/2025