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Organization

FRAME OF MIND CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYSON AGATON (OWNER/PROVIDER)
(725) 726-8216
Entity
Organization

Contact information

Practice address
6540 S PECOS RD STE 103A, LAS VEGAS, NV 89120-2819
(725) 726-8216
(725) 726-8633
Mailing address
6540 S PECOS RD STE 103A, LAS VEGAS, NV 89120-2819
(725) 726-8216
(725) 726-8633

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/16/2024
Last updated
04/01/2025
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