Healthcare Provider Details

I. General information

NPI: 1790621381
Provider Name (Legal Business Name): A RESILIENT MIND BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 SWEET SPOT ST
HENDERSON NV
89074-7633
US

IV. Provider business mailing address

245 SWEET SPOT ST
HENDERSON NV
89074-7633
US

V. Phone/Fax

Practice location:
  • Phone: 702-779-3448
  • Fax:
Mailing address:
  • Phone: 702-779-3448
  • Fax: 833-556-0344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MITCHELLE BAYUDAN
Title or Position: AUTHORIZED OFFICIAL/PRACTICE MNGR
Credential:
Phone: 702-779-3448