Beautiful Minds Behavioral Health Facility LLC
Psychologist, Cognitive & Behavioral in North Las Vegas, NV. Organization (NPI-2).
NPI number1407290067
StatusActive
Last updated in NPPESDec 17, 2020
Details
- NPI
- 1407290067
- Entity type
- Organization (NPI-2)
- Legal business name
- Beautiful Minds Behavioral Health Facility LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2013
- Certification date
- Dec 17, 2020
- Last updated
- Dec 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | NV20131247167 | NV | Yes |
| 101YM0800X | Counselor, Mental Health | NV20131247167 | NV | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | NV20131247167 | NV | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
4332 Twin Peaks DrNorth Las Vegas, NV 89032-0111
Phone 702-813-5413
Mailing address
4332 Twin Peaks DrNorth Las Vegas, NV 89032-0111
Phone 702-813-5413
Authorized official
La-Shandia Danell Binion
Manager
7028135413
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