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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