MINDFUL BALANCE, LLC (NPI# 1053844712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053844712 |
| Entity Type | Organization |
| Organization Name | MINDFUL BALANCE, LLC |
| Practice Address |
4345 Hatch Bend Ave North Las Vegas NV 89031-4302 |
| Mailing Address |
6655 W Sahara Ave Suite B200 Las Vegas NV 89146-0842 |
| Practice Telephone | 7024190311 |
| Mailing Telephone | 7028318282 |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2017-04-09 |
| Authorized Official Name | LINNETTA R COOLEY (MANAGER/MEMBER) |
| Authorized Official Telephone | 7028318282 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
7384-C | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NPI | 1730580168 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mindful Balance, LLC | 2568 S. Kendrick Ct., Lakewood, CO 80228 |
| Street Address |
4345 HATCH BEND AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89031-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730580168 | Linnetta Ruth Cooley | Social Worker | 4345 Hatch Bend Ave, North Las Vegas, NV 89031-4302 | 2014-09-04 |
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|---|---|---|---|---|
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| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1669980223 | Loving Hearts Helping Hands | Clinic/Center | 2910 W Gilmore Ave, North Las Vegas, NV 89032-0415 | 2018-01-17 |
| 1558847293 | Unique Behavioral Health | Clinic/Center | 615 Kings Center Ave, North Las Vegas, NV 89032-1159 | 2018-07-16 |
| 1740778281 | Here Behavioral Health LLC | Clinic/Center | 917 Bistro Bay Ave, North Las Vegas, NV 89086-1336 | 2018-04-30 |
| 1316445869 | Desert Valley Health and Wellness L.l.c | Clinic/Center | 57 W Kraft Ave, North Las Vegas, NV 89031-2596 | 2018-01-30 |
| 1255774915 | Eisteam Community Wellness Centers | Clinic/Center | 1200 Helen Ave, North Las Vegas, NV 89030-3721 | 2013-04-12 |
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| 1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
| 1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
| 1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
| 1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
| 1225656358 | Behavioral and Health Management LLC | Clinic/Center | 1500 E Tropicana Ave Ste 155, Las Vegas, NV 89119-6516 | 2020-07-06 |
| 1366069312 | Holding Onto Hope L.l.c | Clinic/Center | 2725 W Wigwam Ave Apt 2108, Las Vegas, NV 89123-6611 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89031 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.