Healthcare Provider Details

I. General information

NPI: 1225772007
Provider Name (Legal Business Name): MIND MATTERS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 W HORIZON RIDGE PKWY STE 200
HENDERSON NV
89052-4395
US

IV. Provider business mailing address

532 FOSTER SPRINGS RD
LAS VEGAS NV
89148-4467
US

V. Phone/Fax

Practice location:
  • Phone: 877-926-6463
  • Fax:
Mailing address:
  • Phone: 877-926-6463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CINCI ANDERSON
Title or Position: OWNER
Credential:
Phone: 760-521-7715