# MIND, BODY AND SOULNIFICENT BEHAVIOR HEALTHCARE SERVICE

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

## Provider details

- **NPI number:** 1346750858
- **Authorized official:** MS. RUBY SOLE (OWNER)
- **Authorized official phone:** (725) 201-2727

## Contact information

- **Practice address:** 3335 HAUCK ST APT 1036, LAS VEGAS, NV 89146-8024
- **Practice address phone:** (725) 201-2727
- **Mailing address:** 3335 HAUCK ST APT 1036, LAS VEGAS, NV 89146-8024
- **Mailing address phone:** (725) 201-2727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NV | Yes |

## Other

- **Enumeration date:** 10/10/2017
- **Last updated:** 01/07/2019