| Great Mind Counseling And Wellness Center | |
|
1600 E Desert Inn Rd Las Vegas NV 89169-2525 | |
| (702) 208-2194 | |
| Not Available |
| Full Name | Great Mind Counseling And Wellness Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1600 E Desert Inn Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | William Chase Garner (CONSULTANT) |
| Authorized Official Contact | 7022082194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Mind Counseling And Wellness Center 1600 E Desert Inn Rd Las Vegas NV 89169-2525 Ph: (702) 208-2194 | Great Mind Counseling And Wellness Center 1600 E Desert Inn Rd Las Vegas NV 89169-2525 Ph: (702) 208-2194 |
| NPI Number | 1437668985 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9830459502 |
|---|---|
| Medicare Enrollment ID | O20180129002329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437668985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | David P Gennis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558439935 PECOS PAC ID: 5496073793 Enrollment ID: I20150417000075 |
| Provider Name | Rachel M Saenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622291 PECOS PAC ID: 9537448915 Enrollment ID: I20161108002376 |
| Provider Name | Frances Chelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841590262 PECOS PAC ID: 2264712009 Enrollment ID: I20161213001052 |
| Provider Name | Arion Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982159638 PECOS PAC ID: 3072882216 Enrollment ID: I20170703001881 |
| Provider Name | Francis O Raini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154613479 PECOS PAC ID: 2365786274 Enrollment ID: I20181204002010 |
| Provider Name | Ifeanyi C Madu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295295038 PECOS PAC ID: 2860729647 Enrollment ID: I20190816001757 |
| Provider Name | Otto M Berk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225033525 PECOS PAC ID: 2860485687 Enrollment ID: I20200203001525 |
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