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NPI 1750960043

NPI 1750960043 : URBAN HEALTHY MINDS, LLC : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1750960043
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    Entity Type          |    Organization 
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    Legal Business Name  |    URBAN HEALTHY MINDS, LLC 
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Dates
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    Enumeration Date     |    04/05/2021
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    Last Update Date     |    12/25/2025
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Provider Practice Location Address
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    Address Line         |    11500 S EASTERN AVE STE 150 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052-5576
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    Country              |    US
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    Telephone            |    702-540-7671
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    Fax                  |    702-552-7138
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Provider Business Mailing Address
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    Address Line         |    11500 S EASTERN AVE STE 150 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052-5576
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    Country              |    US
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    Telephone            |    702-972-2543
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    Fax                  |    702-552-7138
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     JOANNA D GHANEM 
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    Credential           |    
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    Telephone            |    702-972-2573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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