Organization
VITALMIND MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAIMARA ARIAS SOCARRAS (MANAGING MEMBER)
(786) 227-8640
Entity
Organization
Contact information
Practice address
2619 W CHARLESTON BLVD STE D, LAS VEGAS, NV 89102-2121
(702) 805-3059
(702) 846-5423
Mailing address
6461 ZA ZU PITTS AVE UNIT 3, LAS VEGAS, NV 89122-1687
(786) 227-8640
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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