Provider Demographics
NPI:1538918792
Name:UNVEILED MIND THERAPY
Entity type:Organization
Organization Name:UNVEILED MIND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMMON
Authorized Official - Middle Name:
Authorized Official - Last Name:VEIL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:385-477-9723
Mailing Address - Street 1:5557 W COVENTRY RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:UT
Mailing Address - Zip Code:84003-3473
Mailing Address - Country:US
Mailing Address - Phone:385-477-9723
Mailing Address - Fax:
Practice Address - Street 1:5557 W COVENTRY RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:UT
Practice Address - Zip Code:84003-3473
Practice Address - Country:US
Practice Address - Phone:385-477-9723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)