| Jessica Mix Mft, Inc. | |
|
5785 Centennial Center Blvd Ste 240 Las Vegas NV 89149-7108 | |
| (702) 673-7796 | |
| (866) 611-8528 |
| Full Name | Jessica Mix Mft, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5785 Centennial Center Blvd Ste 240, Las Vegas, Nevada |
| Authorized Official Name and Position | Jessica Mix-tesmer (OWNER) |
| Authorized Official Contact | 7026737796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Mix Mft, Inc. 8414 Farm Rd Ste 180 Las Vegas NV 89131-8007 Ph: (702) 673-7796 | Jessica Mix Mft, Inc. 5785 Centennial Center Blvd Ste 240 Las Vegas NV 89149-7108 Ph: (702) 673-7796 |
| NPI Number | 1215558143 |
|---|---|
| Provider Enumeration Date | 05/01/2020 |
| Last Update Date | 06/20/2024 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215558143 | NPI | - | NPPES |
| 1205149044 | Other | NV | INDIVIDUAL NPI |
| 1215558143 | Other | NV | GROUP NPI |
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