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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