# CELESTIAL HEALTH SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124731401
- **Authorized official:** MARY GRACE MENDIOLA CARILLO (DIRECTOR)
- **Authorized official phone:** (702) 569-7244

## Contact information

- **Practice address:** 2255 RENAISSANCE DR STE B, LAS VEGAS, NV 89119-6795
- **Practice address phone:** (702) 500-1728
- **Practice address fax:** (702) 356-3102
- **Mailing address:** 222 S RAINBOW BLVD STE 206, LAS VEGAS, NV 89145-5356
- **Mailing address phone:** (702) 500-1728
- **Mailing address fax:** (702) 356-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/02/2023
- **Last updated:** 04/23/2026