Organization
MIRACLE MINDS THERAPY LLC
Active
Organization
MIRACLE MINDS THERAPY LLC
Active
Other names
Miracle Minds Therapy LLC, Miracle Minds Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHOK MIRCHANDANI (CEO)
(702) 280-7203
Entity
Organization
Contact information
Practice address
4485 S BUFFALO DR # A, LAS VEGAS, NV 89147-5006
(702) 280-7203
Mailing address
4485 S BUFFALO DR # A, LAS VEGAS, NV 89147-5006
(702) 280-7203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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