| Mind Gym Neurofeedback Llc | |
|
1123 E Broadwing Ln Apt 107 Cottonwood Heights UT 84121-7628 | |
| (720) 290-0154 | |
| Not Available |
| Full Name | Mind Gym Neurofeedback Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1123 E Broadwing Ln Apt 107, Cottonwood Heights, Utah |
| Authorized Official Name and Position | Leroy Matticks (OWNER) |
| Authorized Official Contact | 7202900154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Gym Neurofeedback Llc 8008 E Arapahoe Ct Ste 100 Centennial CO 80112-6839 Ph: (720) 290-0154 | Mind Gym Neurofeedback Llc 1123 E Broadwing Ln Apt 107 Cottonwood Heights UT 84121-7628 Ph: (720) 290-0154 |
| NPI Number | 1013805860 |
|---|---|
| Provider Enumeration Date | 06/27/2025 |
| Last Update Date | 06/27/2025 |
| Certification Date | 06/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013805860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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