# BEAUTIFUL MIND OF LAS VEGAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beautiful Mind
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356940639
- **Authorized official:** JESSICA TINTE ERFE RN (MANAGER MEMBER)
- **Authorized official phone:** (702) 704-9611

## Contact information

- **Practice address:** 3841 W CHARLESTON BLVD STE 202, LAS VEGAS, NV 89102-1858
- **Practice address phone:** (702) 808-0011
- **Mailing address:** 3841 W CHARLESTON BLVD STE 202, LAS VEGAS, NV 89102-1858
- **Mailing address phone:** (702) 808-0011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 05/14/2024