Organization
MANDALA HEALING JOURNEYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SIDOLI LCSW (OWNER)
(505) 504-0260
Entity
Organization
Contact information
Practice address
275 E SOUTH TEMPLE STE 250, SALT LAKE CITY, UT 84111-1273
(801) 900-4023
Mailing address
275 E SOUTH TEMPLE STE 250, SALT LAKE CITY, UT 84111-1273
(801) 900-4023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
04/28/2025
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