MEDICARE: MIND POWER BEHAVIORAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1376159210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND POWER BEHAVIORAL SERVICES LLC

Provider Business Mailing Address
First Line	:	1363 W OWENS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1363 W OWENS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2432
Country	:	US
Telephone Number	:	702-272-2777
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CRISTINE HERNANDEZ
Credential	:
Telephone Number	:	510-456-8143

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	09/16/2020

Similar Medicare Providers

1720596083 — MAURICE THOMAS
Practice Location Address:

1351 W OWENS AVE
LAS VEGAS, NV
89106-2432

Practice Phone: 702-344-7990
Practice Fax:

1871091769 — ADVANCE PROFESSIONAL BEHAVIORAL SERVICES
Practice Location Address:

1351 W OWENS AVE
LAS VEGAS, NV
89106-2432

Practice Phone: 702-636-3900
Practice Fax:

1013646140 — MARJORIE VALDEZ
Practice Location Address:

1363 W OWENS AVE
LAS VEGAS, NV
89106-2432

Practice Phone: 725-204-0953
Practice Fax:

1598469330 — MR. CHILTON GUILLEN ETC.
Practice Location Address:

1363 W OWENS AVE
LAS VEGAS, NV
89106-2432

Practice Phone: 805-264-3272
Practice Fax:

1346938255 — MEDICAL AND BEHAVIORAL HEALTH CENTER LLC
Practice Location Address:

1363 W OWENS AVE
LAS VEGAS, NV
89106-2432

Practice Phone: 725-204-0953
Practice Fax:

1013771690 — MAREIKA MIMS
Practice Location Address:

1363 W OWENS AVE
LAS VEGAS, NV
89106-2432

Practice Phone: 725-204-8828
Practice Fax:

Directions to “MIND POWER BEHAVIORAL SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.