Organization
GREAT MIND COUNSELING AND WELLNESS CENTER LLC
Active
Organization
GREAT MIND COUNSELING AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIMOUNA ROSE CANTRALL (DIRECTOR)
(702) 208-2194
Entity
Organization
Contact information
Practice address
1600 E DESERT INN RD, LAS VEGAS, NV 89169-2505
(702) 208-2194
Mailing address
1600 E DESERT INN RD STE 104, LAS VEGAS, NV 89169-2505
(702) 208-2194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/28/2017
Last updated
02/24/2026
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