Mind Body And Soul Llc

LBN: Mind Body And Soul Llc
Mind Body And Soul Llc is an health care organization with primary practice located at 1405 San Juan Hills Dr Unit 105 , Las Vegas NV 89134-6390. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Mind Body And Soul Llc can be contacted via phone (770) 341-4402, or through Carson, Jeffrey via phone (770) 364-4402.

Contact Information

Primary practice address
1405 San Juan Hills Dr Unit 105 Las Vegas NV 89134-6390
Phone: (770) 341-4402
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carson, Jeffrey
Phone: (770) 364-4402

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1508325366
LBN Legal business name Mind Body And Soul Llc
DBA Doing business as
Authorized official Carson, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2019
Last updated Mar 19th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508325366 NPPES
Nevada Other NV20191215058 BUSINESS LICENSE

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