MEDICARE: RENEWED MINDS BHS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1518434430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWED MINDS BHS

Provider Business Mailing Address
First Line	:	6941 PUETOLLANO DR
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-2339
Country	:	US
Telephone Number	:	310-921-0579
Fax Number	:

Provider Business Practice Location Address
First Line	:	6941 PUETOLLANO DR
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-2339
Country	:	US
Telephone Number	:	310-921-0579
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RHONDA DENISE KELLY
Credential	:
Telephone Number	:	310-921-0579

Provider Enumeration Date	:	10/29/2018
Last Update Date	:	10/29/2018

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1376725648 — SANDRA CATHERINE TAVISORA NCTM
Practice Location Address:

6961 PUETOLLANO DR
N LAS VEGAS, NV
89084-2339

Practice Phone: 480-650-2010
Practice Fax:

1346992922 — KIDS CHOICE PEDIATRIC DENTISTRY, LLC
Practice Location Address:

5680 W FLAMINGO RD STE A
LAS VEGAS, NV
89103-2339

Practice Phone: 702-876-3222
Practice Fax:

1588454367 — FLAMINGO RD NIELSON PDC PLLC
Practice Location Address:

5680 W FLAMINGO RD STE B
LAS VEGAS, NV
89103-2339

Practice Phone: 702-367-1499
Practice Fax: 702-367-2531

1962505875 — DAVID CHUNG DDS
Practice Location Address:

6885 ALIANTE PKWY. , 111
N. LAS VEGAS, NV
89084

Practice Phone: 702-515-1888
Practice Fax:

1962501445 — WAL-MART STORES, INC.
Practice Location Address:

6464 N. DECATUR BLVD.
NORTH LAS VEGAS, NV
89084

Practice Phone: 702-515-7716
Practice Fax:

Directions to “RENEWED MINDS BHS ” 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.