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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