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NPI Code Detail

MEDICARE: RESTING MINDS LLC

MEDICARE: RESTING MINDS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154995082
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTING MINDS LLC
Provider Business Mailing Address
First Line : 4623 W DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7116
Country : US
Telephone Number : 702-410-9629
Fax Number : 702-410-9644
Provider Business Practice Location Address
First Line : 4623 W DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7116
Country : US
Telephone Number : 702-410-9629
Fax Number : 702-410-9644
Authorized Official
Title or Position : OWNER
Name : MELISSA WADSWORTH
Credential : LMFT
Telephone Number : 702-410-9629
Provider Enumeration Date : 05/15/2021
Last Update Date : 01/06/2022

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Directions to “RESTING MINDS LLC ” Practice Location

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