Organization
EXQUISITE MIND COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CARSON (MANAGER)
(702) 813-8894
Entity
Organization
Contact information
Practice address
7465 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV 89128-1033
(702) 655-6560
Mailing address
7465 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV 89128-1033
(702) 655-6560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NV
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
08/28/2020
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