| Evolving Minds Behavioral Health Services | |
|
1771 E Flamingo Rd Ste 106a Las Vegas NV 89119-5156 | |
| (702) 318-7544 | |
| (702) 478-6012 |
| Full Name | Evolving Minds Behavioral Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 1771 E Flamingo Rd Ste 106a, Las Vegas, Nevada |
| Authorized Official Name and Position | Jollene Stiles-bradsher (OWNER) |
| Authorized Official Contact | 7023187544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Minds Behavioral Health Services 1771 E Flamingo Rd Ste 106a Las Vegas NV 89119-5156 Ph: (702) 318-7544 | Evolving Minds Behavioral Health Services 1771 E Flamingo Rd Ste 106a Las Vegas NV 89119-5156 Ph: (702) 318-7544 |
| NPI Number | 1801454673 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 9133550056 |
|---|---|
| Medicare Enrollment ID | O20200509000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801454673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jollene V Stiles-bradsher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780953844 PECOS PAC ID: 5698022879 Enrollment ID: I20180718003865 |
Cc Youth Empowerment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8070 W Russell Rd, Apt 1065, Las Vegas, NV 89113 Phone: 702-610-4153 | |
Creating Empowerment Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4773 Madrid Ridge Ct, Las Vegas, NV 89129 Phone: 702-656-9890 Fax: 702-656-9152 | |
No Obstacles Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8565 S Eastern Ave, Suite 174, Las Vegas, NV 89123 Phone: 702-462-3082 | |
The Village Behavior Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr, Suite 4&5, Las Vegas, NV 89120 Phone: 702-437-0341 | |
Lovelife Family Services L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120 Phone: 702-754-3484 Fax: 702-629-7952 | |
Nevada State Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 E Russell Rd Ste 105l, Las Vegas, NV 89120 Phone: 702-714-1648 | |
Journey Community Health Organization Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6512 N Decatur Blvd, Suite 130-114, Las Vegas, NV 89131 Phone: 702-830-2481 Fax: 702-664-0648 |