| Creative Minds UT | |
|
411 W 7200 S Ste 411w7200 Midvale UT 84047-1058 | |
| (702) 945-1065 | |
| Not Available |
| Full Name | Creative Minds UT |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 411 W 7200 S Ste 411w7200, Midvale, Utah |
| Authorized Official Name and Position | Jazzamin Clark (OWNER) |
| Authorized Official Contact | 7029451065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Minds UT 411 W 7200 S Ste 411w7200 Midvale UT 84047-1058 Ph: (702) 945-1065 | Creative Minds UT 411 W 7200 S Ste 411w7200 Midvale UT 84047-1058 Ph: (702) 945-1065 |
| NPI Number | 1851152847 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851152847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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