| Thriving Minds Health Services, Corp | |
|
6655 S Tenaya Way Ste 120 Las Vegas NV 89113-1934 | |
| (702) 202-0820 | |
| Not Available |
| Full Name | Thriving Minds Health Services, Corp |
|---|---|
| Speciality | Psychologist |
| Location | 6655 S Tenaya Way Ste 120, Las Vegas, Nevada |
| Authorized Official Name and Position | Marshall T Morrow (CEO) |
| Authorized Official Contact | 7022020820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Minds Health Services, Corp 6655 S Tenaya Way Ste 120 Las Vegas NV 89113-1934 Ph: (702) 202-0820 | Thriving Minds Health Services, Corp 6655 S Tenaya Way Ste 120 Las Vegas NV 89113-1934 Ph: (702) 202-0820 |
| NPI Number | 1366212599 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 1850831868 |
|---|---|
| Medicare Enrollment ID | O20240905001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366212599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tanisha M Ranger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396094967 PECOS PAC ID: 0941551543 Enrollment ID: I20180920002149 |
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