Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wide Mind Wellness, LLC

Organization Clinical Social Worker · NPI 1598242893

Wide Mind Wellness, LLC is a Clinical Social Worker in South Jordan, Utah. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11058 S Sunup Way
South Jordan, UT 84009-7720
Phone: (801) 520-5749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8728 S 120 E, Sandy, UT 84070-1526 — (801) 520-5749

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1598242893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lateisha Golub — Lcsw · (801) 520-5749
NPI enumeratedJuly 19, 2018
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022
Mailing address11058 S Sunup Way, South Jordan, UT 84009-7720

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