# A MINDFUL CHANGE BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1336858281
- **Authorized official:** MRS. CYNDI EVETTE CARPLUK LMSW, LCSW (OWNER)
- **Authorized official phone:** (702) 930-4126

## Contact information

- **Practice address:** 916 NEVADA WAY STE 5, BOULDER CITY, NV 89005-2300
- **Practice address phone:** (702) 930-4126
- **Practice address fax:** (702) 441-7021
- **Mailing address:** 916 NEVADA WAY STE 5, BOULDER CITY, NV 89005-2300
- **Mailing address phone:** (702) 930-4126
- **Mailing address fax:** (702) 441-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/18/2022
- **Last updated:** 03/11/2023