| Evolving Minds Behavioral Health Services | |
|
1771 E Flamingo Rd Ste 106a Las Vegas NV 89119-5156 | |
| (702) 318-7544 | |
| (702) 478-6012 |
| Full Name | Evolving Minds Behavioral Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 1771 E Flamingo Rd Ste 106a, Las Vegas, Nevada |
| Authorized Official Name and Position | Jollene Stiles-bradsher (OWNER) |
| Authorized Official Contact | 7023187544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Minds Behavioral Health Services 1771 E Flamingo Rd Ste 106a Las Vegas NV 89119-5156 Ph: (702) 318-7544 | Evolving Minds Behavioral Health Services 1771 E Flamingo Rd Ste 106a Las Vegas NV 89119-5156 Ph: (702) 318-7544 |
| NPI Number | 1801454673 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 9133550056 |
|---|---|
| Medicare Enrollment ID | O20200509000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801454673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jollene V Stiles-bradsher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780953844 PECOS PAC ID: 5698022879 Enrollment ID: I20180718003865 |
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