Organization
MINDFUL OF LAS VEGAS LLC
Active
Other names
MINDFUL
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ALFREDO PALOMA (MANAGING OWNER)
(702) 292-3434
Entity
Organization
Contact information
Practice address
1810 E SAHARA AVE STE 100, LAS VEGAS, NV 89104-3707
(702) 704-9611
Mailing address
1810 E SAHARA AVE STE S100, LAS VEGAS, NV 89104-3707
(702) 704-9611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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