Organization
BRAIN FYUZHEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE BONNER MS (PSYCHOTHERAPIST/OWNER)
(702) 720-2550
Entity
Organization
Contact information
Practice address
11500 S EASTERN AVE STE 150, HENDERSON, NV 89052-5576
(702) 720-2550
Mailing address
11500 S EASTERN AVE STE 150, HENDERSON, NV 89052-5576
(702) 720-2550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100544052
—
NV
05
—
250018979
—
NV
Enumeration date
05/24/2021
Last updated
08/30/2025
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