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Organization
MINDWELL COUNSELING & CRISIS SERVICES, LLC
Active
Organization
MINDWELL COUNSELING & CRISIS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KORDICH (OWNER)
(702) 358-4894
Entity
Organization
Contact information
Practice address
2810 W CHARLESTON BLVD STE 74, LAS VEGAS, NV 89102
(725) 291-2700
(725) 291-2701
Mailing address
2810 W CHARLESTON BLVD STE 74, LAS VEGAS, NV 89102-1910
(725) 291-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/11/2023
Last updated
03/09/2024
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