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Active NPI 1851152847 Organization (Entity Type 2)

Creative Minds Ut

Community/Behavioral Health • Midvale, UT

About Creative Minds Ut NPI 1851152847 Summary

Creative Minds Ut is a verified healthcare organization specializing in Community/Behavioral Health operating in Midvale, UT. Located at 411 W 7200 S STE 411W7200, this facility provides patient care and medical services under National Provider Identifier (NPI) 1851152847.

Administrative operations and authorized compliance are overseen by Jazzamin Clark (Owner).

Facility Location & Contact Primary Location

Facility Address

411 W 7200 S Ste 411w7200

Midvale, UT 840471058

Telephone 7029451065

Authorized Official Information

Authorized Contact Name

Jazzamin Clark , LIFE COACH

Title / Role

Owner

Official Telephone

7029451065

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active January 17, 2024

NPI status registered as active in NPPES database

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Updated Practice Location January 17, 2024

Registered at 411 W 7200 S STE 411W7200, MIDVALE, UT 840471058 (Tel: 7029451065)

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Updated Business Mailing Address January 17, 2024

Registered at 411 W 7200 S STE 411W7200, MIDVALE, UT 840471058 (Tel: 7029451065)

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Organization / Clinic Name Updated January 17, 2024

Operating as CREATIVE MINDS UT

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2024

Community/Behavioral Health

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Initial NPI Registration & Enumeration January 17, 2024

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1851152847
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 17, 2024
Last Update: January 17, 2024

Mailing Address

411 W 7200 S Ste 411w7200

Midvale, UT 840471058

Phone: 7029451065

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.