MEDICARE: HEAL AND GLOW MENTAL HEALTH NURSING CORP

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194659524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL AND GLOW MENTAL HEALTH NURSING CORP

Provider Business Mailing Address
First Line	:	2121 E FLAMINGO RD STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5124
Country	:	US
Telephone Number	:	702-405-9819
Fax Number	:	888-810-3159

Provider Business Practice Location Address
First Line	:	2121 E FLAMINGO RD STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5124
Country	:	US
Telephone Number	:	702-405-9819
Fax Number	:	888-810-3159

Authorized Official
Title or Position	:	OWNER
Name	:	SANDRA RAMSEY
Credential	:	DNP, FNP-BC,PMHNP-BC
Telephone Number	:	712-790-0235

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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