Healthcare Provider Details

I. General information

NPI: 1366262131
Provider Name (Legal Business Name): SAVING YOUNG MINDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3536 MOUNTAIN VALLEY DR
LAS VEGAS NV
89129-6383
US

IV. Provider business mailing address

3536 MOUNTAIN VALLEY DR
LAS VEGAS NV
89129-6383
US

V. Phone/Fax

Practice location:
  • Phone: 702-985-3764
  • Fax:
Mailing address:
  • Phone: 702-980-6741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: URSULIA CHRISTMAS
Title or Position: CEO
Credential:
Phone: 702-985-3764