Organization
MIND GYM LLC
Active
Parent organization
MIND GYM LLC
Other names
Mind Gym Neurofeedback
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIND GYM LLC
Authorized official
LEROY MATTICKS (CEO)
(720) 513-5092
Entity
Organization
Contact information
Practice address
2861 W 120TH AVE STE 220, WESTMINSTER, CO 80234-2985
(720) 290-0154
(720) 222-5533
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(720) 290-0154
(720) 222-5533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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