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MINDFUL CONNECTIONS LLC NPI 1114644960


NPI Information

NPI: 1114644960
Provider Name: MINDFUL CONNECTIONS, LLC

Doing Business As: MINDFUL CONNECTION THERAPY

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
780 S 2000 W STE A105
SYRACUSE, UT
ZIP 84075
Phone: (801) 628-6397
Get Directions

MINDFUL CONNECTIONS, LLC is a clinical social worker in Syracuse, UT. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MINDFUL CONNECTIONS, LLC NPI is 1114644960. The provider is registered as an organization entity type.
The provider Is Doing Business As Mindful Connection Therapy.

The provider's business location address is:

780 S 2000 W STE A105
SYRACUSE, UT
ZIP 84075-612
Phone: (801) 628-6397

The provider's authorized official is Victoria Thompson .
The authorized official title is Lcsw and has the following contact phone number (801) 628-6397.

The enumeration date for this NPI number is 10/24/2022 and was last updated on 12/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
21041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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