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Mentoring The Mind Behavioral Health Services

Community/Behavioral Health

Agencies

2350 S Jones Blvd Ste 101d9, Las Vegas, NV 89146-3103

PECOS Enrollment

Based on the most recent information from CMS, provider Mentoring The Mind Behavioral Health Services does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1497242291
Provider Type
Organization
Full Name
Mentoring The Mind Behavioral Health Services

Subpart
No
Enumeration Date
4/17/2018
Last Updated
4/17/2018

Contact Information

Practice Location

2350 S Jones Blvd Ste 101d9, Las Vegas, NV 89146-3103

(702) 214-2157

Unlisted Fax

Mailing Location

2350 S Jones Blvd Ste 101d9, Las Vegas, NV 89146-3103

(702) 214-2157

Unlisted Fax

Authorized Official

Hal, Alexandria La Paris (Owner)

(702) 470-9969

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 261QM0801X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Mentoring The Mind Behavioral Health Services

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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