Organization
MINDGYM NEUROFEEDBACK LLC
Active
Other names
Mind Gym Neurofeedback
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY MATTICKS (OWNER)
(720) 513-5092
Entity
Organization
Contact information
Practice address
1123 E BROADWING LN APT 107, COTTONWOOD HEIGHTS, UT 84121-7628
(720) 290-0154
Mailing address
8008 E ARAPAHOE CT STE 100, CENTENNIAL, CO 80112-6839
(720) 290-0154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
11/15/2025
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