Organization
SYNERGY MIND FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL HERNANDEZ (CEO)
(615) 578-4065
Entity
Organization
Contact information
Practice address
2621 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2121
(615) 578-4065
Mailing address
2621 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2121
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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