Organization
CREATIVE MINDS COMMUNITY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE D HARPER (OWNER)
(720) 806-0871
Entity
Organization
Contact information
Practice address
2500 WILCREST DR STE 300, HOUSTON, TX 77042-2754
(832) 819-3738
Mailing address
9636 W CHEROKEE AVE, LAS VEGAS, NV 89147-6753
(832) 819-3738
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/27/2021
Last updated
07/26/2021
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