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NPI Code Detail

MEDICARE: EFFECTIVE MIND AND MEDICAL LLC

MEDICARE: EFFECTIVE MIND AND MEDICAL 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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1356228696
Entity Type Code : Organization
Provider Name (Legal Business Name) : EFFECTIVE MIND AND MEDICAL LLC
Provider Business Mailing Address
First Line : 9811 W CHARLESTON BLVD # 2-343
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7528
Country : US
Telephone Number : 435-215-8283
Fax Number :
Provider Business Practice Location Address
First Line : 7465 W LAKE MEAD BLVD STE 223
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-1033
Country : US
Telephone Number : 435-215-8283
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JOHN PRICE
Credential :
Telephone Number : 435-229-3245
Provider Enumeration Date : 08/19/2025
Last Update Date : 02/18/2026

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Directions to “EFFECTIVE MIND AND MEDICAL LLC ” Practice Location

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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.

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