| Mind Matters Therapy Llc | |
|
1311 W Craig Rd Ste 8 North Las Vegas NV 89032-0252 | |
| (877) 926-6463 | |
| Not Available |
| Full Name | Mind Matters Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1311 W Craig Rd Ste 8, North Las Vegas, Nevada |
| Authorized Official Name and Position | Cinci Anderson (OWNER) |
| Authorized Official Contact | 8779266463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Matters Therapy Llc 1311 W Craig Rd Ste 8 North Las Vegas NV 89032-0252 Ph: (877) 926-6463 | Mind Matters Therapy Llc 1311 W Craig Rd Ste 8 North Las Vegas NV 89032-0252 Ph: (877) 926-6463 |
| NPI Number | 1225772007 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 1850779885 |
|---|---|
| Medicare Enrollment ID | O20220603001431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225772007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Donald H Mayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750509329 PECOS PAC ID: 9638225428 Enrollment ID: I20090921000071 |
| Provider Name | Fatima Y Hussein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245233717 PECOS PAC ID: 0648269738 Enrollment ID: I20220607002155 |
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