OrganizationMind And Body Behavioral Health Services LlcCommunity/Behavioral HealthAgenciesPractice Address2655 S Rainbow Blvd Ste 110, Las Vegas, NV 89146-5100(702) 478-7444PECOS EnrollmentBased on the most recent information from CMS, provider Mind And Body Behavioral Health Services Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1184101347Provider TypeOrganizationFull NameMind And Body Behavioral Health Services LlcSubpartNoEnumeration Date7/20/2018Last Updated7/20/2018Contact InformationPractice LocationPractice Address2655 S Rainbow Blvd Ste 110, Las Vegas, NV 89146-5100Phone(702) 478-7444Fax(702) 478-7864Mailing LocationMailing Address2655 S Rainbow Blvd Ste 110, Las Vegas, NV 89146-5100Phone(702) 478-7444Fax(702) 478-7864Authorized OfficialNameVasquez, Edwin Ramiro (Consultant)Phone(702) 800-5431Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseNV20171790249Nevada