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General NPI Number Information
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NPI Number | 1558054775
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Entity Type | Organization
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Legal Business Name | MINDFUL HEALING COUNSELING LLC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 4880 W UNIVERSITY AVE STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89103-3830
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Country | US
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Telephone | 702-410-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 4880 W UNIVERSITY AVE STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89103-3830
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Country | US
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Telephone | 702-410-6555
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAELA LEVINE
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Credential |
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Telephone | 702-660-5943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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