| Mindful Utopia Llc | |
|
2801 S Valley View Blvd Ste 10 Las Vegas NV 89102-0116 | |
| (702) 523-2136 | |
| Not Available |
| Full Name | Mindful Utopia Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2801 S Valley View Blvd Ste 10, Las Vegas, Nevada |
| Authorized Official Name and Position | Jaqueline Salgado (OFFICE MANAGER) |
| Authorized Official Contact | 7027271228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Utopia Llc 2801 S Valley View Blvd Ste 10 Las Vegas NV 89102-0116 Ph: (702) 727-1228 | Mindful Utopia Llc 2801 S Valley View Blvd Ste 10 Las Vegas NV 89102-0116 Ph: (702) 523-2136 |
| NPI Number | 1730886698 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 9032575048 |
|---|---|
| Medicare Enrollment ID | O20230517002500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730886698 | NPI | - | NPPES |
| Provider Name | Dithra Ann Cotton-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487159182 PECOS PAC ID: 0749539161 Enrollment ID: I20180817002985 |
| Provider Name | Ashley Schara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275192155 PECOS PAC ID: 3173981032 Enrollment ID: I20240130003533 |
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