Organization
MODERATION OF THE MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOHNSON (OWNER)
(602) 573-8035
Entity
Organization
Contact information
Practice address
6869 W CHARLESTON BLVD STE A, LAS VEGAS, NV 89117-1670
(602) 573-8035
Mailing address
6869 W CHARLESTON BLVD STE A, LAS VEGAS, NV 89117-1670
(602) 573-8035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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