MIND BODY AND SOUL LLC (NPI# 1508325366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508325366 |
| Entity Type | Organization |
| Organization Name | MIND BODY AND SOUL LLC |
| Practice Address |
1405 San Juan Hills Dr Unit 105 Las Vegas NV 89134-6390 |
| Practice Telephone | 7703414402 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | JEFFREY CARSON (CEO) |
| Authorized Official Telephone | 7703644402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | BUSINESS LICENSE | NV20191215058 | 01 |
| Street Address |
1405 SAN JUAN HILLS DR UNIT 105 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89134-6390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801130232 | Jeffrey John Carson | Counselor | 1405 San Juan Hills Dr Unit 105, Las Vegas, NV 89134-6390 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345786 | J'aime Nicole Macpherson | Marriage & Family Therapist | 9148 W Lake Mead Blvd, Ste. 316, Las Vegas, NV 89134 | 2018-08-09 |
| 1487178471 | Rcg LLC | Nurse Practitioner | 10109 Snow Crest Pl, Las Vegas, NV 89134 | 2017-08-01 |
| 1346770120 | Rizalyne May Abdelnour | Dentist | 9501 Hillwood Dr., Las Vegas, NV 89134 | 2017-06-14 |
| 1215465380 | Erin Mattera | Marriage & Family Therapist | 9418 West Lake Mead Blvd, Las Vegas, NV 89134 | 2017-06-01 |
| 1871044636 | Albert Khavkin, Ltd | Pain Medicine | 9329 Eagle Ridge Dr, Las Vegas, NV 89134 | 2016-10-17 |
| 1952647794 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 8568 Del Webb Blvd., Las Vegas, NV 89134 | 2012-12-26 |
| 1518247311 | Proteus Therapeutic Solutions Inc | Counselor | 1813 Sierra Oaks Ln, Las Vegas, NV 89134 | 2011-08-24 |
| 1629357702 | Jessica Robbins | Marriage & Family Therapist | 9402 W. Lake Mead Blvd, Kayenta Therapy Center, Las Vegas, NV 89134 | 2011-08-08 |
| 1447575659 | Sara Pelton | Marriage & Family Therapist | 9418 W. Lake Mead Blvd., Las Vegas, NV 89134 | 2010-03-30 |
| 1205167517 | James Joshua Greathouse | Physical Therapist | 1845 Village Center Cir, Las Vegas, NV 89134 | 2010-01-26 |
| Find all providers in zip 89134 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497839 | Joseph Javier | Counselor | 526 S Tonopah Dr Ste 140, Las Vegas, NV 89106-4044 | 2020-11-05 |
| 1881206605 | Healing and Wholeness | Counselor | 9634 Hawk Cliff Ave, Las Vegas, NV 89148-4716 | 2020-08-21 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1700408978 | New Perspectives Behavioral Health LLC | Counselor | 725 Jacobs Ladder Pl, Las Vegas, NV 89138-7540 | 2020-05-11 |
| 1265075139 | Dennis Patrick Smith | Counselor | 2225 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5126 | 2019-10-23 |
| 1083268577 | Taylor D Bull | Counselor | 7251 Vireo Dr, Las Vegas, NV 89147-4645 | 2019-08-01 |
| 1801351440 | Kathleen Marie Davis | Counselor | 2574 Olay St, Las Vegas, NV 89142-2801 | 2019-02-07 |
| 1770048613 | Natalie King | Counselor | 7260 Las Vegas Blvd S # 210, Las Vegas, NV 89119-4020 | 2019-02-05 |
| 1699257402 | Beth Asaf | Counselor | 2309 Renaissance Dr Ste B, Las Vegas, NV 89119-6160 | 2018-08-29 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| Find all providers in LAS VEGAS | ||||
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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.