Wide Mind Wellness, Llc

LBN: Wide Mind Wellness, Llc
Wide Mind Wellness, Llc is an health care organization with primary practice located at 11058 S Sunup Way , South Jordan UT 84009-7720. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Wide Mind Wellness, Llc can be contacted via phone (801) 520-5749, or through Golub, Lateisha via phone (801) 520-5749.

Contact Information

Primary practice address
11058 S Sunup Way South Jordan UT 84009-7720
Phone: (801) 520-5749
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Golub, Lateisha
Phone: (801) 520-5749

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1598242893
LBN Legal business name Wide Mind Wellness, Llc
DBA Doing business as
Authorized official Golub, Lateisha
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2018
Last updated Dec 27th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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