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Organization
CELESTIAL HEALTH SOLUTIONS
Active
Organization
CELESTIAL HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GRACE MENDIOLA CARILLO (DIRECTOR)
(702) 569-7244
Entity
Organization
Contact information
Practice address
2255 RENAISSANCE DR STE B, LAS VEGAS, NV 89119-6795
(702) 500-1728
(702) 356-3102
Mailing address
222 S RAINBOW BLVD STE 206, LAS VEGAS, NV 89145-5356
(702) 500-1728
(702) 356-3102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/02/2023
Last updated
04/23/2026
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