| Enrichminds Behavioral Health Llc | |
|
5600 W Spring Mountain Bldg B Suite 106 Suite H #101 Las Vegas NV 89146 | |
| (702) 291-8468 | |
| Not Available |
| Full Name | Enrichminds Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5600 W Spring Mountain Bldg B Suite 106, Las Vegas, Nevada |
| Authorized Official Name and Position | Keisha Mae Tan (ADMIN) |
| Authorized Official Contact | 7252470388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrichminds Behavioral Health Llc 5600 W Spring Mountain Bldg B Suite 106 Las Vegas NV 89146 Ph: (702) 291-8468 | Enrichminds Behavioral Health Llc 5600 W Spring Mountain Bldg B Suite 106 Suite H #101 Las Vegas NV 89146 Ph: (702) 291-8468 |
| NPI Number | 1700644069 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 04/03/2025 |
| Certification Date | 04/03/2025 |
| Medicare PECOS PAC ID | 3971048182 |
|---|---|
| Medicare Enrollment ID | O20240711004483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700644069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Roxanne M Aronson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033417720 PECOS PAC ID: 5092142182 Enrollment ID: I20200302002586 |
| Provider Name | Jezryl Celiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801598610 PECOS PAC ID: 1355701392 Enrollment ID: I20230721001618 |
| Provider Name | Eileen Michelle Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346852712 PECOS PAC ID: 8921451949 Enrollment ID: I20240125004308 |
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