| Joyful Minds Behavioral Therapy Llc | |
|
3663 E Sunset Rd Ste 107d Las Vegas NV 89120-3218 | |
| (702) 772-4104 | |
| Not Available |
| Full Name | Joyful Minds Behavioral Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3663 E Sunset Rd Ste 107d, Las Vegas, Nevada |
| Authorized Official Name and Position | Michael Villamora (CEO) |
| Authorized Official Contact | 7027724104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joyful Minds Behavioral Therapy Llc 3663 E Sunset Rd Ste 107d Las Vegas NV 89120-3218 Ph: () - | Joyful Minds Behavioral Therapy Llc 3663 E Sunset Rd Ste 107d Las Vegas NV 89120-3218 Ph: (702) 772-4104 |
| NPI Number | 1649011438 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 2264966670 |
|---|---|
| Medicare Enrollment ID | O20241107002513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649011438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Andrea G Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447609169 PECOS PAC ID: 5799025029 Enrollment ID: I20191010001260 |
| Provider Name | Eileen M Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346852712 PECOS PAC ID: 8921451949 Enrollment ID: I20240125004308 |
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