Healthcare Provider Details

I. General information

NPI: 1245937507
Provider Name (Legal Business Name): UNIQUE MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3456 W TROPICANA AVE
LAS VEGAS NV
89119-6542
US

IV. Provider business mailing address

1515 E TROPICANA AVE STE 345
LAS VEGAS NV
89119-6542
US

V. Phone/Fax

Practice location:
  • Phone: 702-702-1731
  • Fax: 702-979-2486
Mailing address:
  • Phone: 702-702-1731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: O MIRANDA
Title or Position: MANAGING MEMBER
Credential:
Phone: 702-000-0000