Organization
MIND FULL PRAXIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN M ANTOLIN (OWNER)
(323) 553-1815
Entity
Organization
Contact information
Practice address
7318 W POST RD STE 211, LAS VEGAS, NV 89113-6646
(323) 553-1815
Mailing address
7318 W POST RD STE 211, LAS VEGAS, NV 89113-6646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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