| Individualized Mindful Solutions Llc | |
|
1681 E Flamingo Rd Ste 3 Las Vegas NV 89119-5274 | |
| (702) 291-8798 | |
| Not Available |
| Full Name | Individualized Mindful Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1681 E Flamingo Rd Ste 3, Las Vegas, Nevada |
| Authorized Official Name and Position | Leonides Garcia (PRESIDENT) |
| Authorized Official Contact | 7252470388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Individualized Mindful Solutions Llc 1681 E Flamingo Rd Ste 3 Las Vegas NV 89119-5274 Ph: () - | Individualized Mindful Solutions Llc 1681 E Flamingo Rd Ste 3 Las Vegas NV 89119-5274 Ph: (702) 291-8798 |
| NPI Number | 1669245239 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 06/04/2024 |
| Certification Date | 12/15/2023 |
| Medicare PECOS PAC ID | 7618318684 |
|---|---|
| Medicare Enrollment ID | O20240508004044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669245239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Eileen Michelle Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346852712 PECOS PAC ID: 8921451949 Enrollment ID: I20240125004308 |
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