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NPI 1275010944 · live from the CMS NPI Registry

A Beautiful Mind LLC

Counselor, Mental Health in Las Vegas, NV. National Provider Identifier 1275010944, active.

NPI record

NPI1275010944 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location9205 W Russell Rd Ste 240, Las Vegas, NV 89148
Practice phone702-793-4493
EnumeratedJuly 25, 2018
Last updatedJuly 25, 2018
Authorized officialPatrick Cummings, Owner
Other namesA Beautiful Mind

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health primary101YM0800XCP0242 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.