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REVIVED MINDS LLC
NPI 1033832324
Community/Behavioral Health in Las Vegas, NV

Active since September 21, 2022
6212 W CHARLESTON BLVD # 14, LAS VEGAS, NV 89146(818) 232-6452 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2024, Sep 21, 2022 (2 updates tracked since 2022).

About Revived Minds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVED MINDS LLC (NPI 1033832324) is a healthcare organization registered as a community/behavioral health in Las Vegas, Nevada and active in the NPI registry since September 2022. The organization lists Tisto Chapman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033832324
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameREVIVED MINDS LLC
Location Address6212 W CHARLESTON BLVD # 14Las Vegas, NV 89146-1163
Mailing Address6212 W Charleston Blvd # 14Las Vegas, NV 89146-1163 · (818) 232-6452
Phone(818) 232-6452
Organization SubpartNo
Authorized OfficialTisto ChapmanAdministrator · (818) 232-6452
Enumeration DateSeptember 21, 2022
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1033832324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6212 W CHARLESTON BLVD # 14, Las Vegas, NV 89146
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revived Minds LLC's NPI number?

The NPI number for Revived Minds LLC is 1033832324. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Revived Minds LLC located?

Revived Minds LLC is located at 6212 W Charleston Blvd # 14, Las Vegas, NV 89146. The listed phone number is (818) 232-6452.

What is Revived Minds LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Revived Minds LLC was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.