=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295685378
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MINDFUL THERAPEUTIC SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2026
-----------------------------------------------------
Last Update Date | 01/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1481 WEST WARM SPRINGS ROAD STE 133
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-518-8884
-----------------------------------------------------
Fax | 702-441-7025
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 35 E HORIZON RIDGE PKWY STE 110
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89002-7906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-518-8884
-----------------------------------------------------
Fax | 702-441-7025
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST
-----------------------------------------------------
Name | MRS. CHRISTY LYNN ROOD
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 702-518-8884
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------