Organization Name: | CALM MIND, INC. |
NPI Number: | 1215360425 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAYLEEN M FULLER (PRESIDENT) |
Mailing Address: | 5200 S Highland Dr Ste 202 Holladay |
State: | UT US |
Postal Code: | 841177003 |
Phone Number: | 8016522720 |
Fax Number: | 8012776003 |
NPI Enumeration Date: | 08/12/2013 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2004192501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |