Organization · NPI-2

A Beautiful Mind LLC

Counselor, Mental Health · Las Vegas, NV

NPI number1275010944
StatusActive
Last updated in NPPESJul 25, 2018

Details

NPI
1275010944
Entity type
Organization (NPI-2)
Legal business name
A Beautiful Mind LLC
Organization subpart
No
Enumeration date
Jul 25, 2018
Last updated
Jul 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthCP0242NVYes

Other names

  • A Beautiful Mind (Doing Business As)

Practice location

9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425

Phone 702-793-4493 · Fax 702-793-4493

Mailing address

9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425

Phone 702-793-4493 · Fax 702-793-4493

Authorized official

Patrick Timothy Cummings
Owner
7027934493

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