| Body And Mind Health Partners | |
|
6889 W Charleston Blvd # 230 Las Vegas NV 89117-1644 | |
| (702) 901-9081 | |
| Not Available |
| Full Name | Body And Mind Health Partners |
|---|---|
| Speciality | Family Medicine |
| Location | 6889 W Charleston Blvd # 230, Las Vegas, Nevada |
| Authorized Official Name and Position | Alicia Walker (MANAGER) |
| Authorized Official Contact | 7029019081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Body And Mind Health Partners 7881 W Charleston Blvd Ste 230 Las Vegas NV 89117-8327 Ph: (702) 901-9081 | Body And Mind Health Partners 6889 W Charleston Blvd # 230 Las Vegas NV 89117-1644 Ph: (702) 901-9081 |
| NPI Number | 1730961160 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 7113374307 |
|---|---|
| Medicare Enrollment ID | O20231109001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730961160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Marissa Schanbacher Adolfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700302791 PECOS PAC ID: 5991079568 Enrollment ID: I20180207002903 |
| Provider Name | Rachel H Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487071635 PECOS PAC ID: 2860612819 Enrollment ID: I20180531001369 |
| Provider Name | Liliana M Lacayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194473116 PECOS PAC ID: 6800273491 Enrollment ID: I20220520000944 |
| Provider Name | Amanda Rose Serrao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962183301 PECOS PAC ID: 4486096914 Enrollment ID: I20240529001882 |
| Provider Name | Samuel Jurca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20240529002879 |
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