Healthcare Provider Details

I. General information

NPI: 1497242291
Provider Name (Legal Business Name): MENTORING THE MIND BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 04/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 S JONES BLVD STE 101D9
LAS VEGAS NV
89146-3103
US

IV. Provider business mailing address

2350 S JONES BLVD STE 101D9
LAS VEGAS NV
89146-3103
US

V. Phone/Fax

Practice location:
  • Phone: 702-214-2157
  • Fax:
Mailing address:
  • Phone: 702-214-2157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRIA LA PARIS HAL
Title or Position: OWNER
Credential:
Phone: 702-470-9969