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Active NPI 1790482495 Organization (Entity Type 2)

Empowered Mind

Clinic/Center - Mental Health (Including Community Mental Health Center) • Roy, UT

About Empowered Mind NPI 1790482495 Summary

Empowered Mind is a verified healthcare organization specializing in Clinic/Center - Mental Health (Including Community Mental Health Center) operating in Roy, UT. Located at 4640 S 3900 W, this facility provides patient care and medical services under National Provider Identifier (NPI) 1790482495.

Administrative operations and authorized compliance are overseen by Emilee Jackson (Owner).

Facility Location & Contact Primary Location

Facility Address

4640 S 3900 W

Roy, UT 840678707

Telephone 8018963260

Authorized Official Information

Authorized Contact Name

Emilee Jackson , LCSW

Title / Role

Owner

Official Telephone

8018963260

Facility Classifications & Specialties

Clinic/Center - Mental Health (Including Community Mental Health Center) Primary Taxonomy

NUCC Taxonomy Code: 261QM0801X

Definition to come...

Facility & Registry History Timeline

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

6 Historical Events

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NPI Profile Active February 13, 2023

NPI status registered as active in NPPES database

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Updated Practice Location February 13, 2023

Registered at 4640 S 3900 W, ROY, UT 840678707 (Tel: 8018963260)

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Updated Business Mailing Address February 13, 2023

Registered at 4640 S 3900 W, ROY, UT 840678707 (Tel: 8019632608)

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Organization / Clinic Name Updated February 13, 2023

Operating as EMPOWERED MIND

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2023

Clinic/Center

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Initial NPI Registration & Enumeration February 13, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1790482495

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: February 13, 2023

Last Update: May 16, 2023

Update or Correct Listing

Mailing Address

4640 S 3900 W

Roy, UT 840678707

Phone: 8019632608

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.