| A Mindful Change Behavioral Health | |
|
916 Nevada Way Ste 5 Boulder City NV 89005-2300 | |
| (702) 930-4126 | |
| (702) 441-7021 |
| Full Name | A Mindful Change Behavioral Health |
|---|---|
| Speciality | Social Worker |
| Location | 916 Nevada Way Ste 5, Boulder City, Nevada |
| Authorized Official Name and Position | Cyndi Evette Carpluk (OWNER) |
| Authorized Official Contact | 7029304126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Mindful Change Behavioral Health 916 Nevada Way Ste 5 Boulder City NV 89005-2300 Ph: (702) 930-4126 | A Mindful Change Behavioral Health 916 Nevada Way Ste 5 Boulder City NV 89005-2300 Ph: (702) 930-4126 |
| NPI Number | 1336858281 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 03/11/2023 |
| Certification Date | 03/11/2023 |
| Medicare PECOS PAC ID | 8123490562 |
|---|---|
| Medicare Enrollment ID | O20230210000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336858281 | NPI | - | NPPES |
| 250003704 | Medicaid | NV |
| Provider Name | Cyndi Evette Carpluk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366004707 PECOS PAC ID: 9032581475 Enrollment ID: I20230216002335 |
| Provider Name | Emma Bobbitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356806046 PECOS PAC ID: 3173952892 Enrollment ID: I20230222002148 |
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