| Shining Minds Ltd | |
|
5972 Vizzi Ct Las Vegas NV 89131-2858 | |
| (702) 883-4105 | |
| Not Available |
| Full Name | Shining Minds Ltd |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5972 Vizzi Ct, Las Vegas, Nevada |
| Authorized Official Name and Position | Sarah Hawkins (PRESIDENT) |
| Authorized Official Contact | 7028834105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Minds Ltd 5972 Vizzi Ct Las Vegas NV 89131-2858 Ph: (702) 883-4105 | Shining Minds Ltd 5972 Vizzi Ct Las Vegas NV 89131-2858 Ph: (702) 883-4105 |
| NPI Number | 1437988938 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 8527592161 |
|---|---|
| Medicare Enrollment ID | O20241105003217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437988938 | NPI | - | NPPES |
| Provider Name | Michael E Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215384839 PECOS PAC ID: 2961841077 Enrollment ID: I20240422001299 |
| Provider Name | Sarah M Hawkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154734143 PECOS PAC ID: 5597205633 Enrollment ID: I20240904003009 |
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