Organization
MIND AND MATTER THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL COLLINS (OWNER)
(801) 645-5790
Entity
Organization
Contact information
Practice address
75 E FORT UNION BLVD # 116, MIDVALE, UT 84047-1531
(801) 645-5790
Mailing address
7527 S RUSSI PL, MIDVALE, UT 84047-4794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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