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Organization

INNOVATIVE MINDS COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI NEWMAN BA CPC (ADMINISTRATOR)
(512) 368-6408
Entity
Organization

Contact information

Practice address
455 DORCHESTER BEND AVE UNIT 103, NORTH LAS VEGAS, NV 89032-5607
(512) 368-6408
Mailing address
455 DORCHESTER BEND AVE UNIT 103, NORTH LAS VEGAS, NV 89032-5607
(512) 368-6408

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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