MEDICARE: STATE OF MIND MENTAL HEALTH SERVICES

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	251S00000X	Community/Behavioral Health Agency	NV20161110505	NV

General Provider Information

NPI Number	:	1285094946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATE OF MIND MENTAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	8128 AUTUMN STAR AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-2433
Country	:	US
Telephone Number	:	562-595-2440
Fax Number	:

Provider Business Practice Location Address
First Line	:	3651 LINDELL RD STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1200
Country	:	US
Telephone Number	:	702-943-0318
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	K WALKER
Credential	:
Telephone Number	:	562-595-2440

Provider Enumeration Date	:	02/24/2016
Last Update Date	:	02/24/2016

Similar Medicare Providers

1528920345 — ALLPRO STAFFNET
Practice Location Address:

3651 LINDELL RD STE J
LAS VEGAS, NV
89103-1200

Practice Phone: 725-201-9700
Practice Fax: 702-922-3217

1316113517 — LEGEND MEDICAL EXPRESS
Practice Location Address:

3651 LINDELL RD STE D
LAS VEGAS, NV
89103-1200

Practice Phone: 978-846-7229
Practice Fax: 978-827-4941

1427324839 — MS. CLAUDIA M. VALLEJO MA
Practice Location Address:

3651 LINDELL RD STE A
LAS VEGAS, NV
89103-1200

Practice Phone: 702-581-6899
Practice Fax:

1922420488 — MARY BRENNAN-VERTUCCI PHD,MFT
Practice Location Address:

3651 LINDELL RD STE I
LAS VEGAS, NV
89103-1200

Practice Phone: 702-529-0358
Practice Fax: 866-499-2117

1700208246 — DARLESIA HOUSE
Practice Location Address:

3651 LINDELL RD STE I
LAS VEGAS, NV
89103-1200

Practice Phone: 702-287-2194
Practice Fax:

1245648419 — BMSC NV LLC
Practice Location Address:

4575 DEAN MARTIN DR UNIT 1200
LAS VEGAS, NV
89103-8205

Practice Phone: 702-403-0438
Practice Fax:

Directions to “STATE OF MIND MENTAL HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.