Organization
MIND AND BODY BEHAVIORAL HEALTH LLC
Active
Organization
MIND AND BODY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE PARROTT LCSW (CEO)
(702) 353-5417
Entity
Organization
Contact information
Practice address
4525 S SANDHILL RD, LAS VEGAS, NV 89121-5954
(702) 478-7444
Mailing address
4525 S SANDHILL RD, LAS VEGAS, NV 89121-5954
(702) 478-7444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20171790249
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104100000X
BEHAVIRORAL HEALTH
—
05
—
104100000X
—
NV
Enumeration date
12/11/2017
Last updated
12/11/2017
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