| Mind And Body Behavioral Health Llc | |
|
4525 S Sandhill Rd Las Vegas NV 89121-5954 | |
| (702) 478-7444 | |
| Not Available |
| Full Name | Mind And Body Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4525 S Sandhill Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Clarence Parrott (CEO) |
| Authorized Official Contact | 7023535417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Behavioral Health Llc 4525 S Sandhill Rd Las Vegas NV 89121-5954 Ph: (702) 478-7444 | Mind And Body Behavioral Health Llc 4525 S Sandhill Rd Las Vegas NV 89121-5954 Ph: (702) 478-7444 |
| NPI Number | 1376058461 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376058461 | NPI | - | NPPES |
| 104100000X | Medicaid | NV | |
| 104100000X | Other | BEHAVIRORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20171790249 (Nevada) | Primary |
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