Organization
MINDFUL BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINNETTA R COOLEY LCSW (MANAGER/MEMBER)
(702) 831-8282
Entity
Organization
Contact information
Practice address
4345 HATCH BEND AVE, NORTH LAS VEGAS, NV 89031-4302
(702) 419-0311
Mailing address
6655 W SAHARA AVE, SUITE B200, LAS VEGAS, NV 89146-0842
(702) 831-8282
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
7384-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730580168
NPI
NV
Enumeration date
04/09/2017
Last updated
04/09/2017
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