Organization
CREATIVE MINDS UT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZZAMIN CLARK LIFE COACH (OWNER)
(702) 945-1065
Entity
Organization
Contact information
Practice address
411 W 7200 S STE 411W7200, MIDVALE, UT 84047-1058
(702) 945-1065
Mailing address
411 W 7200 S STE 411W7200, MIDVALE, UT 84047-1058
(702) 945-1065
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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