Healthcare Provider Details

I. General information

NPI: 1750119228
Provider Name (Legal Business Name): REFLECTIONS OF THE MIND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 PASEO DEL PRADO STE 201B
LAS VEGAS NV
89102-4332
US

IV. Provider business mailing address

2320 PASEO DEL PRADO STE 201B
LAS VEGAS NV
89102-4332
US

V. Phone/Fax

Practice location:
  • Phone: 702-488-1472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CALLIE GARNER
Title or Position: OWNER
Credential:
Phone: 702-488-1472