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Organization
CHANGING MINDS PSYCHIATRY LLC
Active
Organization
CHANGING MINDS PSYCHIATRY LLC
Active
Other names
Changing Minds LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RENEE VAUGHN APRN (OWNER)
(702) 405-8088
Entity
Organization
Contact information
Practice address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 405-8088
Mailing address
PO BOX 752003, LAS VEGAS, NV 89136-2003
(702) 405-8088
(702) 405-6066
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402445552
NEVADXA
NV
05
—
1402445552
—
NV
Enumeration date
02/17/2017
Last updated
04/01/2026
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