Organization
INSPIRING MINDS BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE THOMAS (OWNER)
(702) 321-8984
Entity
Organization
Contact information
Practice address
3621 KINGFISHERS CATCH AVE, NORTH LAS VEGAS, NV 89084-2347
(702) 321-8984
Mailing address
3621 KINGFISHERS CATCH AVE, NORTH LAS VEGAS, NV 89084-2347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20161570483
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104249887
—
NV
05
—
1205130838
—
NV
05
—
1407165681
—
NV
Enumeration date
10/18/2016
Last updated
10/18/2016
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