| Empowered Mind | |
|
4640 S 3900 W Roy UT 84067-8707 | |
| (801) 896-3260 | |
| Not Available |
| Full Name | Empowered Mind |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4640 S 3900 W, Roy, Utah |
| Authorized Official Name and Position | Emilee Jackson (OWNER) |
| Authorized Official Contact | 8018963260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Mind 4640 S 3900 W Roy UT 84067-8707 Ph: (801) 963-2608 | Empowered Mind 4640 S 3900 W Roy UT 84067-8707 Ph: (801) 896-3260 |
| NPI Number | 1790482495 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790482495 | NPI | - | NPPES |
| 8914131-3501 | Other | UT | LICENSED CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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