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Organization
MINDFUL OF LAS VEGAS LLC
Active
Organization
MINDFUL OF LAS VEGAS LLC
Active
Other names
MINDFUL
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ALFREDO PALOMA (MANAGING OWNER)
(702) 292-3434
Entity
Organization
Contact information
Practice address
1810 E SAHARA AVE STE 100, LAS VEGAS, NV 89104-3707
(702) 704-9611
Mailing address
1810 E SAHARA AVE STE S100, LAS VEGAS, NV 89104-3707
(702) 704-9611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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