MEDICARE: FLEXIBLE MINDSET BEHAVIORAL HEALTH PLLC

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	:	1710571898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEXIBLE MINDSET BEHAVIORAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	10981 INVERLOCHY CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-4395
Country	:	US
Telephone Number	:	702-523-2243
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 EXECUTIVE TERMINAL DR STE 110
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4269
Country	:	US
Telephone Number	:	702-763-5393
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LORENA MUNOZ
Credential	:	LCSW
Telephone Number	:	702-280-7336

Provider Enumeration Date	:	03/01/2021
Last Update Date	:	03/01/2021

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