Mind Full Praxis
Social Worker, Clinical in Las Vegas, NV. Organization (NPI-2).
NPI number1457058877
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1457058877
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind Full Praxis
- Organization subpart
- No
- Enumeration date
- Feb 15, 2023
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
7318 W Post Rd Ste 211Las Vegas, NV 89113-6646
Phone 323-553-1815
Mailing address
7318 W Post Rd Ste 211Las Vegas, NV 89113-6646
Authorized official
Steven M Antolin
Owner
3235531815
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