| Mindwell Counseling & Crisis Services, Llc | |
|
2810 W Charleston Blvd Ste 74 Las Vegas NV 89102 | |
| (725) 291-2700 | |
| (725) 291-2701 |
| Full Name | Mindwell Counseling & Crisis Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2810 W Charleston Blvd Ste 74, Las Vegas, Nevada |
| Authorized Official Name and Position | Jamie Kordich (OWNER) |
| Authorized Official Contact | 7023584894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindwell Counseling & Crisis Services, Llc 2810 W Charleston Blvd Ste 74 Las Vegas NV 89102-1910 Ph: (725) 291-2700 | Mindwell Counseling & Crisis Services, Llc 2810 W Charleston Blvd Ste 74 Las Vegas NV 89102 Ph: (725) 291-2700 |
| NPI Number | 1205519535 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 03/09/2024 |
| Certification Date | 03/09/2024 |
| Medicare PECOS PAC ID | 6305284688 |
|---|---|
| Medicare Enrollment ID | O20240405000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205519535 | NPI | - | NPPES |
| Provider Name | Anthony Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497048300 PECOS PAC ID: 1759729049 Enrollment ID: I20240412004191 |
| Provider Name | Jamie Irene Kordich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073920310 PECOS PAC ID: 0840638136 Enrollment ID: I20240415002370 |
| Provider Name | Jeanine Michelle Wimberly |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760639900 PECOS PAC ID: 7315489895 Enrollment ID: I20240612001383 |
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