MEDICARE: MINDFUL SOLUTIONS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1229	NV
2	106H00000X	Marriage & Family Therapist	01057	NV

General Provider Information

NPI Number	:	1952624926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL SOLUTIONS

Provider Business Mailing Address
First Line	:	3595 S TOWN CENTER DR
Second Line	:	SUITE 116
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-3019
Country	:	US
Telephone Number	:	702-290-0787
Fax Number	:	702-479-7285

Provider Business Practice Location Address
First Line	:	3595 S TOWN CENTER DR
Second Line	:	SUITE 116
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-3019
Country	:	US
Telephone Number	:	702-290-0787
Fax Number	:	702-479-7285

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. RHONDA FAYE DUNCOMBE
Credential	:	LMFT, LADC
Telephone Number	:	702-290-0787

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	03/05/2010

Similar Medicare Providers

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Practice Location Address:

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Directions to “MINDFUL SOLUTIONS ” Practice Location

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