NPI 1356940639 · live from the CMS NPI Registry
Beautiful Mind Of Las Vegas LLC
Social Worker, Clinical in Las Vegas, NV. National Provider Identifier 1356940639, active.
NPI record
| NPI | 1356940639 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3841 W Charleston Blvd Ste 202, Las Vegas, NV 89102 |
| Practice phone | 702-808-0011 |
| Enumerated | October 19, 2020 |
| Last updated | May 14, 2024 |
| Authorized official | Jessica Erfe, Manager Member |
| Other names | Beautiful Mind |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.