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Organization
MINDFUL HEART FAMILY HEALTH LLC
Active
Organization
MINDFUL HEART FAMILY HEALTH LLC
Active
Parent organization
MINDFUL HEART FAMILY HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINDFUL HEART FAMILY HEALTH LLC
Authorized official
JIKEALA TAYLOR (CHIEF EXECUTIVE OFFICER)
(678) 515-6507
Entity
Organization
Contact information
Practice address
8670 W CHEYENNE AVE STE 218, LAS VEGAS, NV 89129
(678) 515-6507
Mailing address
8670 W CHEYENNE AVE STE 218, LAS VEGAS, NV 89129-7457
(678) 515-6507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
01/14/2019
Last updated
06/14/2019
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