Organization
CLEAR MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASTAZIA A GUY (OWNER)
(702) 445-5466
Entity
Organization
Contact information
Practice address
4837 FIESTA LAKES ST, LAS VEGAS, NV 89130-2087
(702) 708-0973
Mailing address
4837 FIESTA LAKES ST, LAS VEGAS, NV 89130-2087
(702) 708-0973
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NV
Enumeration date
02/25/2014
Last updated
02/25/2014
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