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NPI Code Detail

MEDICARE: MIND POWER BEHAVIORAL SERVICES LLC

MEDICARE: MIND POWER BEHAVIORAL SERVICES 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
1363L00000XNurse PractitionerNV
2208D00000XGeneral Practice PhysicianNV

General Provider Information

NPI Number : 1851871768
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIND POWER BEHAVIORAL SERVICES LLC
Provider Business Mailing Address
First Line : 4570 S EASTERN AVE STE 28
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6183
Country : US
Telephone Number : 702-476-3345
Fax Number : 702-920-8596
Provider Business Practice Location Address
First Line : 8565 S EASTERN AVE STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123
Country : US
Telephone Number : 818-932-4684
Fax Number : 888-277-1901
Authorized Official
Title or Position : CEO
Name : CRISTINE HERNANDEZ
Credential :
Telephone Number : 818-932-4684
Provider Enumeration Date : 08/20/2018
Last Update Date : 06/24/2025

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Directions to “MIND POWER BEHAVIORAL SERVICES LLC ” Practice Location

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